优化急诊护理流程对急性心肌梗死抢救的效果评估.doc

优化急诊护理流程对急性心肌梗死抢救的效果评估胡娟娟[摘要]目的：探讨优化急诊护理流程对急性心肌梗死抢救的临床效果。方法：2011年1月至2013年9月期间，我院急诊科救治的120例急性心肌梗死患者，随机将其分为对照组（常规护理流程）和观察组（优化急诊护理流程），每组各60例，对两组急诊室抢救效果（分诊评估时间、进出急诊室时间、急诊球囊扩张时间、卧床时间、住院时间）和患者预后效果（院内急性心梗复发率、院内再次进行经皮冠状动脉介入治疗（percutaneouscoronaryinterention,PCI）率），进行观察和比较。结果：与对照组相比，观察组分诊评估时间、进出急诊室时间、急诊球囊扩张时间、卧床时间、住院时间均明显缩短，院内急性心梗复发率、院内再PCI率均显著降低，P<0.05，差异有统计学意义。结论：优化急诊护理流程能够提高急性心肌梗死患者的抢救效果，改善患者的预后质量，值得临床推广。[关键词]优化急诊护理流程；急性心肌梗死；抢救；效果Theeffectevulationoftheoptimizedemergencynursingprocedureontherescueforpatientswithacutemyocardialinfarction[Abstract]Objective:Tostudytheclinicaleffecttheoptimizedemergencynursingprocedureontherescueforpatientswithacutemyocardialinfarction.Methods:The120patientswithacutemyocardialinfarction(AMI)inouremergencydepartmentduringtheperiodfromJan2011toSep2013wererandomizedintothecontrolgroup(routinenursingprocedure)andtheobservationgroup(optimizedemergencynursingprocedure),60patientspergroup.Therescueeffectintheemergencyroom(thetriageassessmenttime,thetimeofintoandoutoftheemergencyroom,thetimeofemergencyballoondilatation,thebedtimeandthehospitalizationtime)andthepatients’prognosiseffect(therecurrencerateofAMIandthere-performacerateofpercutaneouscoronaryinterention(PCI))inthetwogroupswereobservedandcompared.Results:comparedwiththecontrolgroup,thetimeoftriageassessmenttime,thetimeofintoandoutoftheemergencyroom,thetimeofemergencyballoondilatation,thebedtimeandthehospitalizationtimeintheobservationgroupweresignificantlydecreased,therecurrencerateofAMIandthere-performacerateofPCIwereobviouslyreducedintheobservationgroupwithstatisticaldifference,P<0.05.Conclusion:TheoptimizedemergencynursingprocedurecanincreasetherescueeffectsforpatientswithAMI,improvethepatients’prognosisquality,andisworthyofclinicalpromotion.[Keywords]optimizedemergencynursingprocedure;AMI;rescue;effect急性心肌梗死（acutemyocardialinfarction，AMI）作为临床急诊科常见病、多发病，具有发病急、致残和致死率高等特点。AMI抢救关键在于尽快恢复梗死血管，尽早恢复心肌血供[1]。AMI患者的抢救效果不仅与医生诊断和治疗相关，也与护理人员的配合有着密不可分的关系[2]。所以，AMI抢救护理过程中，通过优化急诊护理流程，减少抢救过程中不必要的时间浪费，为挽救濒