|
|
|
| Application effect of standardized emergency nursing process in patients with acute ST-segment elevation myocardial infarction |
| DENG Chun |
| Department of Emergency, Foshan Nanhai People′s Hospital, Guangdong Province, Foshan 528200, China |
|
|
|
|
Abstract Objective To explore the clinical effect of standardized emergency nursing process in patients with acute ST-segment elevation myocardial infarction (STEMI) and its effect on the incidence of cardiac adverse events.Methods A total of 180 acute STEMI patients in our hospital from January to May 2019 were selected as the research subjects.They were divided into the control group (n=89) and the study group (n=91) by random number table method.After hospitalization, patients in the control group received regular emergency treatment, and in the study group, participants received standardized emergency nursing process.The opening time of the venous channel, the time of the initial diagnosis, the time of the first balloon dilation, the total hospital stay, the decrease in ST segment, the satisfaction of patients and their families, and the total incidence of cardiac adverse reactions were compared between two groups.Results The opening time, initial diagnosis time, first balloon dilation time, and total hospital stay of the study group were shorter than those of the control group after admission, and the differences were statistically significant (P<0.05).The satisfaction of patients and their families was higher than that of the control group, and the difference was statistically significant (P<0.05).The mortality and total adverse reaction rate in the study group were lower than those of the control group with statistical differences (P<0.05).There was no significant difference in heart rate failure and myocardial reinfarction rate (P＞0.05).Conclusion Immediate application of the standardized emergency nursing process for patients with acute STEMI after admission can obtain a favorable therapeutic effect and patient′s satisfaction, and reduce the incidence of cardiac adverse reactions.
|
|
|
|
|
|
| [1] |
李银燕，佘东，杨秀华.急性心肌梗死院前急救护理的进展[J].现代医药卫生，2013，29（21）：3257-3258.
|
| [2] |
杜兰芳，廉宏伟，马青变.ST段抬高型心肌梗死患者急诊介入治疗延迟时间的分布[J].中国急救医学，2016，36（2）：146-149.
|
| [3] |
侯霁芯，王沛坚.胸痛中心运行模式下护理人员在STEMI救治中的作用[J].中国医药导报，2017，14（21）：42-45.
|
| [4] |
李晓娟.标准化抢救护理流程在急救心肌梗死患者抢救中的应用研究[J].当代护士（下旬刊），2017，（3）：125-127.
|
| [5] |
王静.流程再造在缩短STEMI 急诊救治中“门-球”时间的探讨[J].护士进修杂志，2016，31（16）：1471-1473.
|
| [6] |
中华医学会心血管病学分会，中华心血管病杂志编辑委员会.急性ST段抬高型心肌梗死诊断和治疗指南[J].中华心血管病杂志，2015，43（5）：380-393.
|
| [7] |
刘晓宇，楚英杰，秦历杰，等.优化急性ST段抬高型心肌梗死急诊救治流程[J].中华急诊医学杂志，2015，24（10）：1160-1163.
|
| [8] |
蔡佩丽，梁美秀，陈凡，等.标准化急救护理流程对急性缺血性脑卒中溶栓治疗时间窗的影响[J].护理实践与研究，2019，16（5）：40-42.
|
| [9] |
王海燕.量化标配流程在急性心肌梗死患者院前急救中的应用[J].国际护理学杂志，2017，36（21）：2965-2968.
|
| [10] |
彭顺蓉，蒋进，冯茂，等.急性ST段抬高型心肌梗死患者诊疗流程优化研究[J].护理学杂志，2017，32（15）：1-4.
|
| [11] |
Pettie JM，Dow MA，Sandilands EA，et al.An integrated care pathway improves the management of paracetamol poisoning[J].Emerg Med J，2012，29（6）：482-486.
|
| [12] |
杨洁婷，代月光，黄晓丽.标准化急救护理流程在重度颅脑损伤患者中的应用[J].齐鲁护理杂志，2017，23（22）：96-97.
|
| [13] |
Nallamothu BK，Normand SL，Wang Y，et al.Relation between door-to-balloon times and mortality after primary percutaneous coronary intervention over time：a retrospective study[J].Lancet，2015，385（9973）：1114-1122.
|
| [14] |
黄彩峰，房俊娜，于文慧，等.胸痛护士标准化工作流程在急性心肌梗死急救中的应用[J].齐鲁护理杂志，2018，24（23）：119-121.
|
| [15] |
李蓉，官昕，王曼，等.标准化急救护理流程在ST段抬高型心肌梗死中的应用价值[J].局解手术学杂志，2015，24（5）：576-577.
|
|
|
|
