分级急救护理对急性心肌梗死患者复苏结局、预后及护理满意度的影响。
Effects of graded emergency nursing on resuscitation outcomes, prognosis, and nursing satisfaction in patients with acute myocardial infarction.
作者信息
Zhang Qinqun, Yu Yilan
机构信息
Department of Critical Care Medicine, The First People's Hospital of Fuyang Hangzhou Hangzhou 311400, Zhejiang, China.
出版信息
Am J Transl Res. 2021 Sep 15;13(9):10586-10592. eCollection 2021.
OBJECTIVE
This study was conducted to explore the effect of graded emergency nursing on the resuscitation outcomes, prognosis and nursing satisfaction of patients with acute myocardial infarction (AMI).
METHOD
Ninety-five patients with AMI admitted to the emergency department of our hospital from May 2018 to May 2020 were enrolled as the study subjects and were randomly divided into the control group (n=47) and the experimental group (n=48). Patients in the control group received routine care, and patients in the experimental group received graded nursing. The two groups were compared in terms of resuscitation outcomes, prognosis and nursing satisfaction.
RESULTS
After intervention, the waiting time, door-to-triage time and treatment duration of the experimental group were significantly shorter than those of the control group (<0.05). Patients in the experimental group had fewer complications such as shock, cardiac arrhythmia, chest pain, ; higher scores of Karnofsky Performance Scale (KPS) and quality of life (QOL) (<0.05); and higher scores of nursing satisfaction than the control group (<0.05).
CONCLUSION
Graded nursing for AMI patients during emergency care can shorten the waiting and triage time, improve the success rate of resuscitation, reduce the incidence of complications, improve the prognosis and nursing satisfaction of patients.
目的
本研究旨在探讨分级急救护理对急性心肌梗死（AMI）患者复苏结局、预后及护理满意度的影响。
方法
选取2018年5月至2020年5月我院急诊科收治的95例AMI患者作为研究对象，随机分为对照组（n = 47）和试验组（n = 48）。对照组患者接受常规护理，试验组患者接受分级护理。比较两组患者的复苏结局、预后及护理满意度。
结果
干预后，试验组的等待时间、分诊至就诊时间及治疗时长均显著短于对照组（P<0.05）。试验组患者休克、心律失常、胸痛等并发症较少；卡氏功能状态评分（KPS）及生活质量（QOL）得分较高（P<0.05）；护理满意度得分高于对照组（P<0.05）。
结论
对AMI患者进行急诊分级护理可缩短等待及分诊时间，提高复苏成功率，降低并发症发生率，改善患者预后及护理满意度。
Zotero 插件