陈慧琼

[摘要] 目的 對比分析急诊护理流程优化前后对急性心肌梗死患者抢救的影响，以期为进一步提高急性心肌梗死患者的救治率提供科学依据。 方法 选取2015年1月～2016年12月实施优化急诊护理流程后我院急诊科收治抢救的85例急性心肌梗死患者作为实验组研究对象，选取2014年1月～2015年12月实施优化急诊护理流程前我院急诊科收治抢救的78例急性心肌梗死患者作为对照组研究对象，记录并统计分析两组研究对象至接诊到收入住院各急诊阶段所花费的时间，对比分析两组研究对象的治疗效果以及对护理的满意度情况。 结果 实验组的患者经过优化护理程序以后，在急救各阶段所花费的时间明显短于对照组，两组比较差异具有统计学意义（P<0.05）；实验组有48例患者显效，22例患者好转，有效率82.35%，对照组有19例患者显效，有28例患者好转，有效率60.26%，两组比较差异具有统计学意义（P<0.05）；实验组有81例患者对急救护理满意，满意率95.29%，对照组有63例患者对急救护理满意，满意率80.77%，两组比较差异具有统计学意义（P<0.05）。 结论 在急性心肌梗死患者的临床抢救中，对急救流程进行必要的优化，可以有效缩短救治时间，提高抢救有效率以及对护理的满意率。

[关键词] 急性心肌梗死；急救；优化护理流程；抢救效果

[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）16-159-04

Clinical application effect of emergency nursing process in the rescue of patients with acute myocardial infarction

CHEN Huiqiong

Panyu Hexian Memorial Hospital，Guangzhou 511400，China

[Abstract] Objective To analyze the effect of emergency nursing process on the rescue of patients with acute myocardial infarction，so as to provide scientific basis for further improving the treatment rate of patients with acute myocardial infarction. Methods 85 cases of acute myocardial infarction after implement the optimization of emergency nursing process in emergency rescue of our hospital from January 2015 to December 2016 were selected as the experimental group.78 cases of patients with acute myocardial infarction admitted before optimization of emergency nursing process in emergency rescue of our hospital from January 2014 to December 2015 were selected as the control group.The object of study to take to the hospital admissions income emergency time of the two groups were recorded and statistically analyzed.The treatment effect and satisfaction of nursing of the two groups were compared and analyzed. Results For the patients in experimental group after optimizing the nursing procedure，spent in each stage of the emergency time was shorter than that in control group，There were significant differences between the two groups（P<0.05）.There were 48 patients cured and 22 cases improved in experimental group，the efficiency was 82.35%.There were 19 patients cured and 28 patients improved in control group，the efficiency was 60.26%，and there was a significant difference between the two group（P<0.05）.In the experimental group，81 patients were satisfied with the first aid nursing，the satisfaction rate was 95.29%. In the control group，63 patients were satisfied with the first aid nursing，the satisfaction rate was 80.77%，the difference between the two groups was statistically significant（P<0.05）. Conclusion In the clinical rescue of patients with acute myocardial infarction，it is necessary to optimize the emergency procedure.It can shorten the time of treatment，and improve the efficiency of rescue and the satisfaction rate of nursing.endprint

[Key words] Acute myocardial infarction；First aid；Optimized nursing process；Rescue effect

急性心肌梗死（AMI）是急诊工作中的一种常见疾病，其临床表现主要是胸骨后的持久性剧痛、心率失常、心衰等。该病具有发病急、病情重、进展快、死亡率高等特点[1-2]。有相关学者的研究表明，我国的心血管疾病患者约有2.3亿人，而其中的急性心肌梗死约有200万患者。因为急性心肌梗死进展十分迅速，因此抢救时间显得尤为重要，必须在最短时间内将梗死的心血管再行疏通，恢复对心肌的血液灌流，挽救损伤的心肌[3]。缩短患者发病至得到有效治疗的时间，对临床的治疗效果以及患者的预后起着至关重要的作用。……