循证护理在优化急性心肌梗死介入诊疗流程中的应用

【摘要】 目的：分析研究应用循证护理优化急性心肌梗死介入治疗诊疗流程的方法和效果。方法：抽取2013年1月-2014年12月笔者所在医院收治的219例急性心肌梗死介入治疗患者为研究对象，根据诊疗流程不同，将其分为观察组（n=117）和对照组（n=102），对照组按常规诊疗流程，观察组成立急救团队，24 h值班，患者进入急诊科后立即通知心血管内科医护人员，与急诊科医务人员共同参与救治，对有介入治疗指征的患者直接送入介入室手术，术后再送入心血管内科。结果：观察组患者从进入医院急诊科到运送至介入室手术的时间为（25±4）min，明显低于对照组的（46±10）min，两组比较差异有统计学意义（u=19.3306，P

【关键词】 循证护理； 急性心肌梗死； 诊疗护理流程； 时间分析

中图分类号 R473.5 文献标识码 B 文章编号 1674-6805（2016）4-0085-02

Evidence-based Nursing Application in Optimizing Interventional Diagnosis and Treatment Procedures of Acute Myocardial Infarction/LIU Gui-rong，CHEN Mei，YANG Kun，et al.//Chinese and Foreign Medical Research，2016，14（4）：85-86

【Abstract】 Objective：To analyze the methods and effects of evidence-based nursing application in optimizing interventional diagnosis and treatment procedures of acute myocardial infarction.Method：We draw-out 219 patients who suffer acute myocardial infarction that admitted in our hospital from January 2013 to December 2014 as our research object.Depending on the different treatment process，they were divided into the observer group（n=117） and the control group（n=102）.The control group was taken the conventional treatment process，and the observer group was set up emergency team，24 hours on duty，after the patients entering the emergency department，immediately notified the medical and nursing in cardiovascular department to treat the patients together.The patients with interventional therapy indications were taken into intervention operating room directly，and been taken to the cardiovascular department when finish the operation.Result：The time that patients were being delivered to the therapeutic intervention from the very beginning in the observer group was （25±4）min，it was shortened than （46±10）min of the control group.There was significant difference in two groups（u=19.3306，P

【Key words】 Evidence-based nursing； Acute myocardial infarction； Treatment procedures； Time analysis

First-author’s address：Yulin No.2 People’s Hospital，Yulin 537000，China

doi：10.14033/ki.cfmr.2016.4.046

急性心肌梗死（AMI）是在冠状动脉粥样硬化等基本病因基础上发生冠状动脉血供急剧减少或中断，使心肌严重而持久地急性缺血而导致的心肌细胞死亡。其起病急、病情凶险多变、致死率高。对于急性心肌梗死患者而言，积极的预防和及早的处理是减少并发症，降低死亡率的关键所在[1]。笔者所在医院心血管内科2013年1月-2014年12月行经皮冠状动脉介入治疗（PCI）急性心肌梗死患者219例，将循证护理运用到优化介入治疗诊疗护理流程中，取得满意效果，现报告如下。