结构化团队护理模式对接受PCI的心肌梗死患者心肺复苏效果及质量的影响

Effects of a structured team nursing model on the efficacy and quality of cardiopulmonary resuscitation in myocardial infarction patients undergoing PCI.

作者信息

Li Yangyujing, Lin Yin, Bai Haitao

机构信息

Department of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430014, Hubei Province, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):3129-3137. eCollection 2021.

PMID:34017481

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8129222/

Abstract

OBJECTIVE

This study aimed to evaluate the effects of a structured team nursing model on the efficacy and quality of cardiopulmonary resuscitation (CPR) in acute myocardial infarction patients undergoing percutaneous coronary intervention (PCI).

METHODS

With the random number table, 130 myocardial infarction patients undergoing PCI were divided into two groups, including the control group (n=65) receiving routine emergency resuscitation and nursing care, and the study group (n=65) receiving a structured team care model. The efficacy of CPR, cardiac function, exercise tolerance, ability of daily living activities, quality of life, complication rate and nursing satisfaction were compared between the two groups.

RESULTS

The door-to-balloon time, length of stay at the emergency department, duration of balloon dilation, bedtime and hospital stay in the study group were shorter than those in the control group (<0.05). The study group showed lower LVEDD and LVESD and higher LVEF than the control group after nursing (<0.05). The extend of physical limitation, angina stability, level of disease awareness, number of angina attacks, and treatment satisfaction scores in the 6-MWT, MBI, and SAQ scales in the study group after nursing were higher than those in the control group (<0.05). The complication rate in the study group (7.69%) was lower than that in the control group (20.00%) (<0.05). The study group had higher satisfaction with operational skills, teamwork, clinical practice, rescue awareness, orderliness, and timeliness than the control group (<0.05).

CONCLUSION

Structured team nursing model is helpful to improve the timeliness and quality of CRP, shorten the treatment time, improve patients' cardiac function and exercise tolerance, improve self-care ability and quality of life, reduce the occurrence of complications, and enhance the patient-nurse relationship.

摘要

目的

本研究旨在评估结构化团队护理模式对接受经皮冠状动脉介入治疗（PCI）的急性心肌梗死患者心肺复苏（CPR）效果及质量的影响。

方法

采用随机数字表法，将130例行PCI的心肌梗死患者分为两组，对照组（n = 65）接受常规急诊复苏及护理，研究组（n = 65）接受结构化团队护理模式。比较两组CPR效果、心功能、运动耐量、日常生活活动能力、生活质量、并发症发生率及护理满意度。

结果

研究组的门球时间、急诊留观时间、球囊扩张时间、卧床时间及住院时间均短于对照组（<0.05）。护理后，研究组的左室舒张末期内径（LVEDD）和左室收缩末期内径（LVESD）低于对照组，左室射血分数（LVEF）高于对照组（<0.05）。护理后，研究组在6分钟步行试验（6-MWT）、改良Barthel指数（MBI）和西雅图心绞痛量表（SAQ）中的身体限制程度、心绞痛稳定性、疾病认知水平、心绞痛发作次数及治疗满意度评分均高于对照组（<0.05）。研究组的并发症发生率（7.69%）低于对照组（20.00%）（<0.05）。研究组对操作技能、团队协作、临床实践、急救意识、秩序性和及时性的满意度高于对照组（<0.05）。