蔣萍
【摘 要】目的:利用兩種不同護(hù)理方法及護(hù)理模式的應(yīng)用,分析急性心肌梗死患者中優(yōu)化急診護(hù)理流程應(yīng)用效果。方法:在本院急診科所收治急性心肌梗死患者中,抽取60例作為研究群體,并結(jié)合護(hù)理方法不同分為觀察組和對(duì)照組,每組組內(nèi)人數(shù)相等。對(duì)照組采取常規(guī)護(hù)理,觀察組進(jìn)行優(yōu)化急診護(hù)理,對(duì)護(hù)理后急診時(shí)間、搶救時(shí)間和住院時(shí)間進(jìn)行觀察。結(jié)果:觀察組受試者急診時(shí)間、搶救時(shí)間和住院時(shí)間明顯更短一些(P<0.05),證明有關(guān)方法對(duì)患者影響積極。結(jié)論:優(yōu)化急診護(hù)理流程在臨床急性心肌梗死搶救過(guò)程中應(yīng)用效果較好,明顯要優(yōu)于傳統(tǒng)護(hù)理方法,可以提高搶救效果和效率。
【關(guān)鍵詞】急診護(hù)理;急診科;護(hù)理流程;優(yōu)化;急性心肌梗死;搶救;應(yīng)用
Abstract:Objective To analyze the effect of optimizing emergency nursing process in patients with acute myocardial infarction by using two different nursing methods and nursing modes. Methods 60 patients with acute myocardial infarction were selected as the research group in the emergency department of our hospital. They were divided into observation group and control group according to different nursing methods. The number of patients in each group was equal. The control group was given routine nursing, while the observation group was given optimized emergency nursing. The emergency time, rescue time and hospitalization time after nursing were observed. Results The emergency time, rescue time and hospitalization time of the subjects in the observation group were significantly shorter than those in the control group (P < 0.05), which proved that the related methods had a positive impact on the patients. Conclusion Optimizing the emergency nursing process has a better effect in the rescue of acute myocardial infarction, which is obviously superior to the traditional nursing method, and can improve the rescue effect and efficiency.
Key words: emergency nursing; emergency department; nursing process; optimization; acute myocardial infarction; rescue; application
【中圖分類號(hào)】R473【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1005-0019(2020)06--01
引言:
急性心肌梗死臨床急診搶救過(guò)程中需要積極做好各類準(zhǔn)備工作及預(yù)判工作,要不斷加強(qiáng)對(duì)急診護(hù)理的優(yōu)化,才可以更好輔助臨床搶救效率和效果的提高,爭(zhēng)分奪秒挽救患者生命[1]。急診護(hù)理過(guò)程中不斷對(duì)流程進(jìn)行優(yōu)化,可以更好地提高最終搶救及治療效果,促進(jìn)患者預(yù)后轉(zhuǎn)歸。本次研究就相關(guān)方法在該類患者中應(yīng)用成效進(jìn)行簡(jiǎn)單分析和探討。
1 資料與方法
1.1 一般資料 所有受試者均在本院急診科所收治急性心肌梗死患者中選取,共計(jì)60例,分為觀察組(n=30)和對(duì)照組(n=30)。受試者年齡最小38歲,最大74歲,平均為(54.8±7.4)歲,預(yù)檢分診均高度疑似急性心肌梗死,并經(jīng)輔助檢查診斷。進(jìn)行有關(guān)資料對(duì)比能夠較為突出發(fā)現(xiàn),所有受試者彼此之間并沒(méi)有較大不同之處(P>0.05),可以采取不同方法的護(hù)理效果情況對(duì)比。
1.2 方法 對(duì)照組采取常規(guī)護(hù)理進(jìn)行預(yù)檢分診,并積極配合醫(yī)生做好有關(guān)搶救處理。觀察組首先對(duì)流程進(jìn)行優(yōu)化,完成前期全面評(píng)估之后,馬上經(jīng)綠色急救通道進(jìn)行急診搶救,全面對(duì)發(fā)展情況及可能存在的風(fēng)險(xiǎn)進(jìn)行評(píng)估,明確治療要點(diǎn)并做好資料、器械、設(shè)備等準(zhǔn)備及處理。
1.3 觀察指標(biāo) 對(duì)所有受試者急診時(shí)間、搶救時(shí)間和住院時(shí)間進(jìn)行觀察,分析最終護(hù)理應(yīng)用成效情況差異。
1.4 統(tǒng)計(jì)方法 所有數(shù)據(jù)利用SPSS.20.0統(tǒng)計(jì)學(xué)軟件進(jìn)行統(tǒng)計(jì)學(xué)數(shù)據(jù)處理,臨床各類時(shí)間情況都采用均數(shù)±標(biāo)準(zhǔn)差()進(jìn)行表示,采用t和x2檢驗(yàn),當(dāng)P<0.05時(shí),表示差異較為顯著,具備統(tǒng)計(jì)學(xué)意義。
2 結(jié)果
經(jīng)過(guò)最終結(jié)果收集與對(duì)比分析能夠較為突出發(fā)現(xiàn),觀察組患者臨床急診、搶救和住院時(shí)間等情況都普遍較短一些(P<0.05)。兩組患者各類時(shí)間情況對(duì)比詳見(jiàn)表1.
3 結(jié)論
急性心肌梗死是臨床相對(duì)危重一類疾病,對(duì)于患者影響十分之大,如果不能積極采取有效措施進(jìn)行治療,會(huì)嚴(yán)重威脅患者的生命安全[2]。臨床急診護(hù)理過(guò)程中對(duì)于此類患者需要爭(zhēng)分奪秒,明確常見(jiàn)風(fēng)險(xiǎn)及問(wèn)題,有效采取積極措施,優(yōu)化護(hù)理流程,從而更好提高護(hù)理與治療效果。如上所述,有關(guān)方法在此類患者中應(yīng)用成效較為明顯。
參考文獻(xiàn)
楊華,黃貴祥,等.優(yōu)化急診護(hù)理流程在急性心肌梗死患者搶救中的應(yīng)用效果觀察[J].實(shí)用醫(yī)院臨床雜志,2017,14(2):83-85.
劉文紅,馬麗娟.優(yōu)化急診護(hù)理流程在急性心肌梗死患者搶救中的效果研究[J].中國(guó)急救復(fù)蘇與災(zāi)害醫(yī)學(xué)雜志,2018(1):55-58.