Application effects of standard sequential classification intervention on patients with acute myocardial ;infarction
10.3760/cma.j.issn.1674-2907.2015.25.007
- VernacularTitle:标准序贯分级干预在急性心肌梗死患者中的应用效果
- Author:
Guangxiu REN
1
Author Information
1. 274000 山东省菏泽市立医院护理部
- Keywords:
Acute myocardial infarction;
Standard sequential classification Intervention;
Fatality rate;
Prognosis
- From:
Chinese Journal of Modern Nursing
2015;(25):3001-3005
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the standard sequential classification intervention in patients with acute myocardial infarction affected the timing of ICU stay and prognosis. Methods A total of 141 patients were divided into observation group (n=70) and control group (n=71) by random number table. The patients of observation group underwent standard classification methods which an officer physician and charge nurse took care of patients based on the assessment results of the patient′s heart function, circulation volume state, the initial plan of care, and cardiac ischemia grading with the different levels of nursing interventions. The patients of control group received routine nursing of Cardiology Department. We compared the differences of admitted rate of ICU, rate of invasive mechanical ventilation, ICU fatality rate and severe arrhythmia between two groups. Results The admitted rate of ICU in the observation group was 10%, rate of invasive mechanical ventilation 1. 4%, ICU fatality rate 2. 9%, that all were lower than those of the control group (χ2 =2. 213,2. 117,2. 013;P < 0. 05). Ventricular premature beats (VPB) rate was 25. 3%, ventricular tachycardia or ventricular fibrillation 7. 0%,Ⅱ or Ⅲ degree heart-block 5. 6%, sinus arrest rate 4. 2% in the observation group higher than those of the control group (χ2 =2. 707,2. 115,2. 012,2. 003; P<0. 05). Conclusions The standard Sequential intervention can significantly improve the classification of acute MI prognosis, and contribute to health care professionals to master the timing of ICU stay.
