急救护理流程再造在急性心肌梗死急诊介入治疗中的作用观察

观察急救护理流程再造在急性心肌梗死急诊介入治疗中的作用。方法 选取我院2017年2月~2018年5月收治的60例急性心肌梗死急诊介入治疗患者，以随机平行方式分为观察组与对照组每组30例。观察组实行急救护理流程再造，对照组实行常规护理流程，对比两组患者的护理满意度、抢救成功率、首次医疗接触时间到心电图（ECG)时间、ECG到激活导管室时间、急诊就诊到球囊扩张时间。结果 观察组护理满意度（93.33%），高于对照组（73.33%），差异有统计学意义（P＜0.05）。观察组首次医疗接触-ECG时间、ECG-激活导管室时间、急诊-球囊扩张时间分别为:（5.11±1.19）min、（22.29±2.62）min、（65.11±9.98）min，高于对照组的（10.37±1.56）min、（46.32±4.84）min、（92.04±5.03）min，差异有统计学的意义（P＜0.05）。结论 急性心肌梗死急诊介入治疗中，实行急救护理流程再造，可提高急性心肌梗死患者的护理满意度和抢救成功率，减少首次医疗接触-ECG、ECG-激活导管室、急诊-球囊扩张的时间。

Effect of Emergency Nursing Process Reengineering on Emergency Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

Objective To observe the effect of emergency nursing process reengineering in emergency interventional treatment of acute myocardial infarction. Methods 60 patients with acute myocardial infarction who received emergency interventional therapy in our hospital from February 2017 to May 2018 were randomly divided into observation group (n=30) and control group (n=30) according to their visiting time. The observation group was given emergency nursing process reengineering, while the control group was given routine nursing process. The nursing satisfaction, rescue success rate, first medical contact to electrocardiogram (ECG) time, electrocardiogram (ECG)to activation catheter room time, emergency to balloon dilatation time were compared between the two groups. Results The nursing satisfaction of the observation group (93.33%) was higher than that of the control group (73.33%),the difference was statistically significant(P<0.05). The first medical contact in the observation group-ECG time, ECG-activated catheter room time, emergency-balloon dilation time were:(5.11±1.19) min,(22.29±2.62) min,(65.11±9.98) min, higher than the control group(10.37±1.56) min,(46.32±4.84) min,(92.04±5.03) min, the difference was statistically significant(P<0.05). Conclusion Emergency interventional therapy for acute myocardial infarction can improve the nursing satisfaction and rescue success rate of patients with acute myocardial infarction, and reduce the time of first medical contact-ECG, ECG-activated catheterization room and emergency-balloon expansion.