急性胸痛患者院前急救的方案及效果探讨

目的研究急性胸痛患者院前急救的方案及效果。方法择取2017年4月～2019年4月急性胸痛患者120例为研究对象,按照随机数字表分为研究组(n=60)和对照组(n=60),其中采用常规急救干预为对照组,采用院前急救护理路径为研究组。分析其应用效果。结果研究组护理满意度(95.00%)明显高于对照组的81.67%,差异有统计学意义(P0.05);研究组心力衰竭发生率(8.33%)、心源性休克发生率(3.33%)、恶性心律失常发生率(5.00%)、死亡率(3.33%),对照组心力衰竭发生率(26.67%)、心源性休克发生率(20.00%)、恶性心律失常发生率(18.33%)、死亡率(13.33%),组间比较差异有统计学意义(P0.05);研究组院前急救时间、急诊抢救时间以及住院时间,均短于对照组,差异有统计学意义(P0.05);干预前,两组负性情绪评分比较,差异无统计学意义(P0.05);干预后,研究组负性情绪评分要优于对照组,差异有统计学意义(P0.05)。结论对急性胸痛患者采用院前急救护理路径,护理价值优异,值得推广。

Discussion on plans and effects of pre-hospital first aid for patients with acute chest pain

Objective To study the plans and effects of pre-hospital first aid for patients with acute chest pain.Methods A total of 120 patients with acute chest pain from April 2017 to April 2019 were enrolled and divided into the study group (n=60) and the control group (n=60) according to the random number table.The routine first aid intervention was defined as the control group and the pre-hospital first aid nursing pathway was defined as the study group.The application effects were analyzed.Results The nursing satisfaction in the study group(95.00%) was higher than that in the control group (81.67%),with statistically significant difference (P<0.05).In the study group,the incidence of heart failure (8.33%),the incidence of cardiogenic shock (3.33%),the incidence of malignant arrhythmia (5.00%),and the mortality rate (3.33%),while in the control group,the incidence of heart failure (26.67%),the incidence of cardiogenic shock (20.00%),the incidence of malignant arrhythmia (18.33%),and the mortality rate (13.33%),there were statistically significant differences between the two groups(P<0.05).The pre-hospital first aid time,emergency rescue time and hospitalization time in the study group were all shorter than those in the control group,with statistically significant differences (P<0.05).Before the intervention,there was no statistically significant difference in the negative emotion score between the two groups (P>0.05),while after the intervention,the negative emotion score in the study group was superior to that in the control group,with statistically significant difference (P<0.05).Conclusion The application of pre-hospital first aid nursing pathway for the patients with acute chest pain has excellent nursing value and is worth promoting.