张文娟 郭小红

【摘 要】目的：考察实施优化急诊护理流程对急性心肌梗死患者的抢救效果的影响。方法：收集我院2018年1月开始到2020年12月为止收治的急性心肌梗死患者病例，纳入符合研究需求的患者60例进行研究，并按照随机抽签的方法分为两组（30例/组），对照组和观察组各使用常规护理干预方法、优化急诊护理流程。对比两组患者的急诊效果（包括急诊时间、住院时间、急诊球囊首次扩张时间）及护理满意度差异。结果：观察组的急诊时间（42.10±4.67）min、住院时间（11.09±2.14）d、急诊球囊首次扩张时间（79.99±7.67）mm均明显较对照组（51.09±5.23）mm、12.99±2.15）d、110.45±10.34）mm缩短（P<0.05）；与对照组护理满意度80.00%（24/30）相比，观察组96.67%（29/30）明显较高（P<0.05）。结论：优化急诊护理流程可提高急性心肌梗死患者的抢救效果及患者对护理的满意度，应用价值较高，值得扩大推广。

【关键词】优化急诊护理流程；急性心肌梗死；抢救；护理满意度

Analysis on the rescue effect of optimizing emergency nursing process on patients with acute myocardial infarction

Zhang Wenjuan1， Guo Xiaohong2（Corresponding author）

1.Fugu traditional Chinese medicine hospital， Yulin Shaanxi 719400， China

2.Fugu County Health Service Center， Yulin Shaanxi 719400， China

【Abstract】Objective： To investigate the effect of optimizing emergency nursing process on the rescue effect of patients with acute myocardial infarction. Methods： The cases of patients with acute myocardial infarction treated in our hospital from January 2018 to December 2020 were collected， and 60 patients who met the research needs were included for research. They were randomly divided into two groups（30 cases / group）. The control group and the observation group used routine nursing intervention methods to optimize the emergency nursing process. The emergency effect（including emergency time， hospital stay，first expansion time of emergency balloon） and nursing satisfaction were compared between the two groups. Results：The emergency time （42.10±4.67）min，hospital stay （11.09±2.14）d and the first expansion time of emergency balloon （79.99±7.67）mm in the observation group were significantly shorter than those in the control group （51.09±5.23） mm，（12.99±2.15）d and（110.45±10.34）mm，（P<0.05）； Compared with 80.00% （24/30） in the control group， 96.67% （29/30） in the observation group was significantly higher （P<0.05）. Conclusions： Optimizing the emergency nursing process can improve the rescue effect of patients with acute myocardial infarction and their satisfaction with nursing. It has high application value and is worth expanding and popularizing.

【Key？Words】Optimize the emergency nursing process； Acute myocardial infarction； Rescue； Nursing satisfaction

急性心肌梗死為患者的冠状动脉出现持续性缺血、缺氧，进而引起心肌坏死，是一种常见的心内科疾病[1]。该病治疗中需在最短时间内将患者的梗死血管疏通，之后恢复血流灌注，从而改善患者的心肌损伤情况，而良好的治疗效果需采用有效的护理干预措施，以往护理人员只能被动执行医嘱，若出现急诊情况，护理人员多会出现束手无策的情况，而若术前准备时间较长，会使得患者错过最佳的治疗时间[2-3]。因此我院将优化急诊护理流程用于急性心肌梗死患者抢救中，提高了护理效果，现将研究内容和结果报告如下。

1.1 基础资料