Rehabilitation effect of emergency whole-course optimized nursing in the first aid of patients with acute myocardial infarction
10.7619/jcmp.201714001
- VernacularTitle:急诊全程优化护理在急性心肌梗死患者急救中的康复效果探讨
- Author:
Min LIU
1
;
Yan RONG
;
Feifei ZHAI
;
Xiaoli XIE
;
Ming ZHANG
Author Information
1. 江南大学附属医院 无锡市第四人民医院急诊科
- Keywords:
whole-course optimized nursing;
acute myocardial infarction;
emergency;
rehabilitation
- From:
Journal of Clinical Medicine in Practice
2017;21(14):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the rehabilitation effect of emergency whole-course optimized nursing in the first aid of patients with acute myocardial infarction (AMI).Methods A total of 94 patients with AMI treated in our hospital from October 2014 to October 2016 were divided into observation group and control group according to the order of admission, with 47 cases in each group.Patients in the control group were given routine nursing, and patients in the observation group were given emergency whole-course optimized nursing.The time of first aid and rehabilitation effects were compared between the two groups.Results The time of triage evaluation, time of venous blood collection, time of establishing venous access, time of emergency operation, total time of emergency treatment and the length of hospital stay in the observation group were significantly shorter than those in the control group (P<0.05).After treatment, LVEF, LVEDV, LVFS and other cardiac function levels in the two groups were significantly improved (P<0.05).And levels of LVEF and LVFS were significantly higher and LVEDV level was significantly lower in the observation group than the control group (P<0.05).The recurrence rate of AMI in the observation group was significantly lower than that in the control group (P<0.05).The re-operation rate of percutaneous coronary intervention surgery (PCI) was significantly lower in the observation group than the control group (10.64% vs.27.66%) (P<0.05).Conclusion The application of whole-course optimized nursing in AMI patients can guarantee the smooth implementation of rescue, effectively shorten the time of first aid, save the ischemic myocardium, ensure smooth operation, improve the success rate of first aid, and significantly improve the prognosis of patients.