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胸痛中心优化护理管理在急性心肌梗死患者中的应用效果

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目的:观察胸痛中心优化护理管理在急性心肌梗死(ACI)患者中的应用效果.方法:回顾性分析 2020 年 1 月至 2022 年12 月该院急诊科收治的 80 例ACI患者的临床资料,按照护理管理方法不同将其分为对照组和观察组各 40 例.对照组实施常规胸痛中心护理管理,观察组在对照组基础上实施胸痛中心优化护理管理.比较两组护理管理质量评分、急救相关指标(心电图完成时间、发病至首次医疗接触时间、心肌损伤标志物检测完成时间、导管室激活时间)水平、主要心血管不良事件发生率和急救满意度.结果:观察组护理管理质量评分高于对照组,差异有统计学意义(P<0.05);观察组心电图完成时间、发病至首次医疗接触时间、心肌损伤标志物检测完成时间、导管室激活时间均短于对照组,差异有统计学意义(P<0.05);观察组主要心血管不良事件发生率为 2.50%(1/40),低于对照组的 20.00%(8/40),差异有统计学意义(P<0.05);观察组急救满意度为 100.00%(40/40),高于对照组的 80.00%(32/40),差异有统计学意义(P<0.05).结论:胸痛中心优化护理管理应用于ACI患者可提高护理管理质量评分和急救满意度,改善急救相关指标水平,降低主要心血管不良事件发生率,效果优于常规胸痛中心护理管理.
Application effects of optimized nursing management of chest pain center in patients with acute myocardial infarction
Objective:To observe application effects of optimized nursing management in chest pain center in patients with acute myocardial infarction(ACI).Methods:The clinical data of 80 patients with ACI admitted to the emergency department of the hospital from January 2020 to December 2022 were retrospectively analyzed.According to different nursing management methods,they were divided into control group and observation group,40 cases in each group.The control group was given routine chest pain center nursing management,while the observation group used the optimized nursing management on the basis of that of the control group.The nursing management quality score,the first aid related indicators(electrocardiogram completion time,onset to first medical contact time,myocardial injury marker detection completion time,catheter room activation time)levels,the incidence of major cardiovascular adverse events,and the first aid satisfaction were compared between the two groups.Results:The nursing management quality score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The electrocardiogram completion time,the onset to first medical contact time,the myocardial injury marker detection completion time,and the catheter room activation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of major adverse cardiovascular events in the observation group was 2.50%(1/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Further,the first aid satisfaction degree of the observation group 100.00%(40/40)was higher than 80.00%(32/40)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The optimized nursing management in the chest pain center to the ACI patients can improve the nursing management quality scores and the first aid satisfaction,improve the levels of first aid related indicators,and reduce the incidence of major cardiovascular adverse events.Moreover,it is superior to the routine chest pain center nursing management.

Acute myocardial infarctionChest pain centerNursing managementMajor cardiovascular adverse eventSatisfaction

王娟

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郑州人民医院东院区急诊科,河南 郑州 450003

急性心肌梗死 胸痛中心 护理管理 主要心血管不良事件 满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
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