急性心肌梗死患者行院前个性化急诊护理效果观察 田娟娟.docVIP

精品论文 参考文献 急性心肌梗死患者行院前个性化急诊护理效果观察 田娟娟 田娟娟（武汉市第三医院急诊科, 湖北 武汉 430060） 　　【摘要】目的：探讨在急性心肌梗死患者中行院前个性化急诊护理的应用价值。方法：选取2013 年1 月~2014 年12 月间我院收治的90 例急性心肌梗死患者作为观察组，另选取2011 年1 月~2012 年12 月我院收治的90 例急性心肌梗死患者作为对照组。观察组患者行院前个性化急诊护理，对照组患者行常规院前急诊护理。对比分析两组患者在出诊反应时间、急救时间、入院时间、急救成功率、转运成功率、并发症发生率、死亡率以及护理满意度的差异。结果：观察组出诊反应时间、急救时间、入院时间均明显低于对照组，差异具有统计学意义，Plt;0.05；观察组急救成功率、转运成功率、护理满意度均明显高于对照组，差异具有统计学意义，Plt;0.05；观察组患者心力衰竭、心律失常、休克的并发率及其死亡率均明显低于对照组，差异具有统计学意义，Plt;0.05。结论：对急性心肌梗死患者行院前个性化急诊护理，可提高抢救效果、护理满意度，并且减少并发症发生率和死亡率，具有重要临床意义。 　　【关键词】急性心肌梗死； 个性化； 院前急诊护理【中图分类号】 R573 【文献标号】 A 【文章编号】 2096-0867（2015）02-0008-01Effect observation of pre-hospital personalized emergency nursing to acute myocardial infarction patientsTIAN Juan-juan. Department of Emergency, Wuhan the Third Hospital HubeiWuhan 430060【Abstract】Objective:To study the effect observation of pre-hospital personalized emergency nursing to acute myocardialinfarction patients.Methods: 90 cases of acute myocardial infarction patients selected from January 2013 to December 2014 in ourhospital as observation group and the other 90 cases of acute myocardial infarction patients selected from January 2011 to December2012 in our hospital as control group.Observation group of patients taken pre-hospital personalized emergency nursing and patientsin the control group conventional pre-hospital emergency care.Reaction time, emergency time,admission to hospital time,the successrate of transshipment and first aid,the rate of complications, mortality and nursing satisfaction compared in two groups.Results:Reaction time, emergency time,admission to hospital time in observation group were significantly lower than the control group, thedifference was statistically significant, P lt; 0.05;the success rate of transshipment and first aid,nursing satisfaction in observationgroup were significantly higher than that of control group, the difference is statistically significant, P lt; 0.05;Observation group ofpatients with heart failure, arrhythmia and shock of the con