李海琴　徐海燕

[摘要] 目的 探讨个性化护理在急性心肌梗死患者院前急诊护理中的应用效果。 方法 选取2014年11月～2016年11月在我院进行治疗的90例急性心肌梗死患者为研究对象，给予患者院前急救护理干预，并根据护理干预不同分为观察组与对照组，每组45例，对照组用常规干预，观察组用个性化护理院前急救，对两组患者的各项症状和指标变化情况进行观察，分析比较两组患者出诊准备时间、急救时间、入院时间情况、护理效果、护理满意度情况。结果 观察组患者出诊准备时间、急救时间、入院时间低于对照组，观察组患者优良率（91.11%）高于对照组（80.00%），观察组护理满意度为97.78%高于对照组的84.44%，差异有统计学意义（P<0.05）。 结论 个性化护理在急性心肌梗死患者院前急诊护理中的应用效果较好，患者各项症状得到改善，防止病情的继续恶化，为患者的治疗赢得时间，临床急救过程中值得推广应用。

[关键词] 个性化护理；急性心肌梗死；院前急诊；应用效果

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）16-0138-03

[Abstract] Objective To explore the application effect of personalized nursing in pre-hospital emergency nursing of patients with acute myocardial infarction. Methods 90 patients with acute myocardial infarction who were treated in our hospital from November 2014 to November 2016 were selected as the subjects. The patients were treated with pre-hospital emergency nursing and divided into observation group and control group according to the different nursing intervention，with 45 cases in each group. The control group was treated with conventional intervention， and the observation group was given personalized pre-hospital emergency care. The changes of symptoms and indicators between the two groups were observed. The preparation time of visit， first aid time， admission time， nursing effect and nursing satisfaction between the two groups were analyzed. Results The preparation time of visit， first aid time and admission time in the observation group were lower than those of the control group. The excellent rate of the observation group（91.11%） was higher than that of the control group（80.00%）. The nursing satisfaction rate was 97.78% in the observation group，which was higher than that of 84.44% in the control group， and the difference between the two groups was statistically significant（P<0.05）. Conclusion The application effect of personalized nursing in pre-hospital emergency nursing of patients with acute myocardial infarction is better， the symptoms of patients are improved， and the disease condition has been prevented from deteriorating， the time has been won for the patients' treatment， and the clinical emergency process is worthy of promotion.

[Key words] Personalized care； Acute myocardial infarction； Pre-hospital emergency； Application effect

急性心肌梗死是一種常见的心血管系统疾病，其产生的主要原因是患者受到过度的劳累引起冠状动脉产生缺氧缺血等症状，导致患者的心肌坏死[1，2]。其发病非常急，病情变化非常快，院前急救的质量对于患者而言至关重要，能够有效地稳定患者的病情，缩短入院的时间[3，4]。为探讨个性化护理在急性心肌梗死患者院前急诊护理中的应用价值，选取我院90例急性心肌梗死患者为研究对象，现报道如下。

1 资料与方法

1.1 一般资料

选取2014年11月～2016年11月在我院进行治疗的90例急性心肌梗死患者为研究对象，给予患者院前急救护理干预，并根据护理干预的不同分为观察组与对照组，每组45例，其中，观察组男29例，女16例，年龄32～86岁，平均（65.33±3.15）岁；……