中华灾害救援医学2024,Vol.11Issue(8) :988-990.DOI:10.13919/j.issn.2095-6274.ZHJY202407003

医护一体化急诊急救护理流程对急性心肌梗死患者抢救成功率的影响

Impact of Integrated Physician-Nurse Emergency Care Protocols on the Success Rate of Resuscitation in Acute Myocardial Infarction Patients

苏丽睫 蔡累 冯茜 翁友飞
中华灾害救援医学2024,Vol.11Issue(8) :988-990.DOI:10.13919/j.issn.2095-6274.ZHJY202407003

医护一体化急诊急救护理流程对急性心肌梗死患者抢救成功率的影响

Impact of Integrated Physician-Nurse Emergency Care Protocols on the Success Rate of Resuscitation in Acute Myocardial Infarction Patients

苏丽睫 1蔡累 1冯茜 1翁友飞1
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作者信息

  • 1. 361000 福建厦门,中国人民解放军陆军第七十三集团军医院干部病房
  • 折叠

摘要

目的 探索在急性心肌梗死(AMI)患者的抢救过程中采取医护一体化急救护理模式的临床价值.方法 回顾性纳入2022年1月至2023年12月本院收治的80例急性心肌梗死患者的病历资料,根据急救护理模式的不同分为观察组和对照组,每组各40例.比较两组的急救时间、抢救情况和并发症情况.结果 观察组症状发作到急诊室时间、预检分诊时间、心电图检查时间、进出急诊室时间、经皮冠状动脉介入(PCI)治疗、门球时间、再灌注时间均显著短于对照组(P<0.001).观察组抢救成功率为97.50%,显著高于对照组的77.50%(P<0.05).观察组并发症发生率为12.50%,显著低于对照组的32.50%(P<0.05).结论 医护一体化急救模式可有效缩短急性心肌梗死患者急救时间,提高抢救成功率,减低并发症发生率.

Abstract

Objective To explore the clinical value of an integrated medical-nursing emergency care model in the rescue process of patients with acute myocardial infarction(AMI).Methods A retrospective analysis was conducted on the medical records of 80 AMI patients treated at our hospital from January 2022 to December 2023.According to different emergency nursing modes,patients were divided into the observation group and the control group,with 40 cases in each group.The emergency response times,rescue outcomes,and complication rates were compared between the two groups.Results The observation group demonstrated significantly shorter times from symptom onset to arrival at the emergency department,triage,electrocardiogram examination,entrance and exit from the emergency department,percutaneous coronary intervention(PCI)treatment,door-to-balloon time,and reperfusion time compared to the control group(P<0.001).The rescue success rate in the observation group was 97.50%,significantly higher than that(77.50%)in the control group(P<0.05).The incidence of complications in the observation group was 12.50%,significantly lower than that(32.50%)in the control group(P<0.05).Conclusion The integrated medical-nursing emergency care model effectively shortens emergency response times in AMI pa-tients,improves rescue success rates,and reduces the incidence of complications.

关键词

心肌梗死/急救医学/护理

Key words

acute myocardial infarction/emergency medicine/nursing care

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基金项目

2022年厦门市医疗卫生指导性项目(3502Z20224ZD1242)

出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
ISSN:
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