Research on the application of whole process optimization nursing in rescuing patientswith acute myocardial infarction
全程优化护理在抢救急性心肌梗死患者中应用研究

摘要

目的 本文研究急性心肌梗死患者在抢救中的护理措施，探讨全程优化护理的应用效果。方法 根据2022年4月至2023年4月一年中，我院急诊科收治的急性心肌梗死患者，选取76例用作此文研究对象，以电脑盲选法将患者分成38例的2组进行护理，包括对照组（常规护理模式）、观察组（全程优化护理），针对2组护理及抢救情况作出分析对比。结果 观察组患者的分诊评估时间、抢救时间及急诊室停留时间，与对照组患者急救诊疗各项时间相比之下差异显著，明显观察组各项时间较短，（p＜0.05）；相比2组患者的心电图时间、静脉采血时间及用药时间，观察组显著短于对照组，（p＜0.05）；经过2组患者救治2h后ST段回落、心肌酶谱回落、胸痛症状缓解率及死亡率相比之下，观察组各项指标均优于对照组，（p＜0.05）；统计患者抢救期间的并发症发生率（心律失常、呼吸抑制、低血压、心动过缓及低氧血症），观察组7.89%＜对照组18.42%，（p＜0.05）。结论 对于急性心肌梗死患者的抢救中护理，临床应用全程优化护理的效果最为理想，可有效缩短抢救各个环节的时间，提高抢救效果，降低患者的死亡率，值得推广。

Abstract

Objective This article studies the nursing measures for patients with acute myocardial infarction during rescue, and explores the application effect of optimizing nursing throughout the entire process.
Methods Based on the acute myocardial infarction patients admitted to the emergency department of our hospital from April 2022 to April 2023, 76 cases were selected as the research subjects for this article. The patients were divided into two groups of 38 cases using computer blind selection for nursing care, including the control group (conventional nursing mode) and the observation group (whole process optimized nursing). The nursing and rescue situations of the two groups were analyzed and compared.
Results The triage evaluation time, rescue time, and emergency room stay time of the observation group patients showed significant differences compared to the control group patients in terms of emergency diagnosis and treatment time. The observation group had significantly shorter time for each item (p<0.05); Compared with the two groups of patients, the electrocardiogram time, venous blood collection time, and medication time in the observation group were significantly shorter than those in the control group (p<0.05); After 2 hours of treatment for two groups of patients, the ST segment regression, myocardial enzyme spectrum regression, chest pain symptom relief rate, and mortality rate were compared. The observation group had better indicators than the control group (p<0.05); The incidence of complications (arrhythmia, respiratory depression, hypotension, bradycardia, and hypoxemia) during the rescue period of patients was statistically analyzed, with an observation group of 7.89% compared to the control group of 18.42% (p<0.05).
Conclusion   For the rescue nursing of acute myocardial infarction patients, the clinical application of full process optimization nursing has the most ideal effect, which can effectively shorten the time of each rescue step, improve rescue effectiveness, and reduce patient mortality. It is worth promoting.