个性化护理对老年急性心肌梗死患者转运成功率、急救成功率和护理满意度的影响
|
摘要
目的探讨个性化护理对老年急性心肌梗死患者转运成功率、急救成功率和护理满意度影响,为明确个性化护理是老年急性心肌梗死有效的护理方法提供依据。方法选取120例老年急性心肌梗死患者为研究对象,根据不同的护理方式分为观察组和对照组,每组60例。观察组给予个性化护理,对照组给予常规护理,观察并比较2组的转运成功率、急救成功率和护理满意度。结果观察组的转运成功率和急救成功率均显著高于对照组(100%vs 88.33%,P<0.05;96.67%vs 81.67%,P<0.05);观察组的出诊、急救和入院时间均明显少于对照组(P<0.05);观察组的护理满意度显著高于对照组(95.00%vs 83.33%,P<0.05)。结论对老年急性心肌梗死患者施以个性化护理能有效缩短抢救时间,提高抢救成功率,具有一定的临床应用价值。
Objective To explore the impact of personalized nursing on transfer success rate, first-aid success rate and nursing satisfaction in the elderly with acute myocardial infarction. Methods A total of 120 elderly with acute myocardial infarction were selected and divided, according to the different nursing methods, into 2 groups: observation group and control group, 60 in each; personalized nursing was performed on the elderly in observation group while routine nursing on the elderly in control group; the transfer success rate, first-aid success rate and nursing satisfaction in all the cases were observed and a comparative study was made between the 2 groups. Results The transfer success rate and first-aid success rate in observation group were both higher than those in control group(100% vs 88.33% and96.67% vs 81.67%, both P <0.05); the response time, emergency treatment time and admission time in observation group were all shorter than those in control group(P<0.05); the nursing satisfaction in observation group was 95.00%,obviously higher than that in control group(83.33%, P<0.05). Conclusions Personalized nursing for the elderly with acute myocardial infarction can effectively shorten the rescue time and raise the success rate, it is worthy of wider clinical application.
Objective To explore the impact of personalized nursing on transfer success rate, first-aid success rate and nursing satisfaction in the elderly with acute myocardial infarction. Methods A total of 120 elderly with acute myocardial infarction were selected and divided, according to the different nursing methods, into 2 groups: observation group and control group, 60 in each; personalized nursing was performed on the elderly in observation group while routine nursing on the elderly in control group; the transfer success rate, first-aid success rate and nursing satisfaction in all the cases were observed and a comparative study was made between the 2 groups. Results The transfer success rate and first-aid success rate in observation group were both higher than those in control group(100% vs 88.33% and96.67% vs 81.67%, both P <0.05); the response time, emergency treatment time and admission time in observation group were all shorter than those in control group(P<0.05); the nursing satisfaction in observation group was 95.00%,obviously higher than that in control group(83.33%, P<0.05). Conclusions Personalized nursing for the elderly with acute myocardial infarction can effectively shorten the rescue time and raise the success rate, it is worthy of wider clinical application.
引文
[1]Bossard M,Binbraik Y,Beygui F,et al.Mineralocorticoid receptor antagonists in patients with acute myocardial infarctionA systematic review and meta-analysis of randomized trials[J].Am Heart J,2018,195:60-69.
[2]Arunachalam SP,Arani A,Baffour F,et al.Regional assessment of in vivo myocardial stiffness using 3D magnetic resonance elastography in a porcine model of myocardial infarction[J].Magn Reson Med,2018,79(1):361-369.
[3]Yang X.Identification of risk genes associated with myocardial infarction based on the recursive feature elimination algorithm and support vector machine classifier[J].Mol Med Rep,2018,17(1):1555-1560.
[4]Song K,Wang Y,Sheng J,et al.Effects of dabigatran regulates noreflow phenomenon in acute myocardial infarction mice through antiinflammatory and antioxidative activities and connective tissue growth factor expression[J].Mol Med Rep,2018,17(1):580-585.
[5]Estruch R,Ros E.Eat a healthy diet and drink wisely to postpone dying if you survived a myocardial infarction?:yes,but randomized clinical trials are needed[J].JAMA Intern Med,2013,173(19):1819-20.
[6]Lotan K,Goldbourt U,Gerber Y.Smoking status and incidence of cancer after myocardial infarction:a follow-up study of over 20years[J].Am J Med,2017,130(9):1084-1091.
[7]Kim JB,Choi BG,Rha SW,et al.Clinical characteristics and outcomes of patients with coronary artery spasm who initially presented with acute myocardial infarction[J].Coron Artery Dis,2018,29(1):60-67.
[8]Esmeijer K,Geleijnse JM,Giltay EJ,et al.Body-fat indicators and kidney function decline in older post-myocardial infarction patients:The Alpha Omega Cohort Study[J].Eur J Prev Cardiol,2018,25(1):90-99.
[9]张立敏,程啸天.个性化护理对改善老年急性心肌梗死行冠脉支架植入术患者不良情绪的干预效果[J].世界最新医学信息文摘,2016,16(33):210-211.
[10]张益锋,杨艳莉,康勉励.个性化护理干预在老年急性心肌梗死患者院前急诊中的效果评价[J].中国老年保健医学,2017,15(2):114-115.
[11]Krishnaswami A,Maurer MS,Alexander KP.Contextualizing myocardial infarction:comorbidities and priorities in older adults[J].Am J Med,2017,130(10):1144-1147.
[12]Neeland IJ,Das SR,Simon DN,et al.The obesity paradox,extreme obesity,and long-term outcomes in older adults with ST-segment elevation myocardial infarction:results from the NC-DR[J].Eur Heart J Qual Care Clin Outcomes,2017,3(3):183-191.
[13]Pagidipati NJ,Hellkamp A,Thomas L,et al.Use of prescription smoking cessation medications after myocardial infarction among older patients in community practice[J].JAMA Cardiol,2017,2(9):1040-1042.
[14]Ble A,Hughes PM,Delgado J,et al.Safety and effectiveness of statins for prevention of recurrent myocardial infarction in 12 156typical older patients:a quasi-experimental study[J].J Gerontol A Biol Sci Med Sci,2017,72(2):243-250.
[15]陈维.老年急性心肌梗死患者的临床护理[J].世界最新医学信息文摘,2015,15(6):246.
[2]Arunachalam SP,Arani A,Baffour F,et al.Regional assessment of in vivo myocardial stiffness using 3D magnetic resonance elastography in a porcine model of myocardial infarction[J].Magn Reson Med,2018,79(1):361-369.
[3]Yang X.Identification of risk genes associated with myocardial infarction based on the recursive feature elimination algorithm and support vector machine classifier[J].Mol Med Rep,2018,17(1):1555-1560.
[4]Song K,Wang Y,Sheng J,et al.Effects of dabigatran regulates noreflow phenomenon in acute myocardial infarction mice through antiinflammatory and antioxidative activities and connective tissue growth factor expression[J].Mol Med Rep,2018,17(1):580-585.
[5]Estruch R,Ros E.Eat a healthy diet and drink wisely to postpone dying if you survived a myocardial infarction?:yes,but randomized clinical trials are needed[J].JAMA Intern Med,2013,173(19):1819-20.
[6]Lotan K,Goldbourt U,Gerber Y.Smoking status and incidence of cancer after myocardial infarction:a follow-up study of over 20years[J].Am J Med,2017,130(9):1084-1091.
[7]Kim JB,Choi BG,Rha SW,et al.Clinical characteristics and outcomes of patients with coronary artery spasm who initially presented with acute myocardial infarction[J].Coron Artery Dis,2018,29(1):60-67.
[8]Esmeijer K,Geleijnse JM,Giltay EJ,et al.Body-fat indicators and kidney function decline in older post-myocardial infarction patients:The Alpha Omega Cohort Study[J].Eur J Prev Cardiol,2018,25(1):90-99.
[9]张立敏,程啸天.个性化护理对改善老年急性心肌梗死行冠脉支架植入术患者不良情绪的干预效果[J].世界最新医学信息文摘,2016,16(33):210-211.
[10]张益锋,杨艳莉,康勉励.个性化护理干预在老年急性心肌梗死患者院前急诊中的效果评价[J].中国老年保健医学,2017,15(2):114-115.
[11]Krishnaswami A,Maurer MS,Alexander KP.Contextualizing myocardial infarction:comorbidities and priorities in older adults[J].Am J Med,2017,130(10):1144-1147.
[12]Neeland IJ,Das SR,Simon DN,et al.The obesity paradox,extreme obesity,and long-term outcomes in older adults with ST-segment elevation myocardial infarction:results from the NC-DR[J].Eur Heart J Qual Care Clin Outcomes,2017,3(3):183-191.
[13]Pagidipati NJ,Hellkamp A,Thomas L,et al.Use of prescription smoking cessation medications after myocardial infarction among older patients in community practice[J].JAMA Cardiol,2017,2(9):1040-1042.
[14]Ble A,Hughes PM,Delgado J,et al.Safety and effectiveness of statins for prevention of recurrent myocardial infarction in 12 156typical older patients:a quasi-experimental study[J].J Gerontol A Biol Sci Med Sci,2017,72(2):243-250.
[15]陈维.老年急性心肌梗死患者的临床护理[J].世界最新医学信息文摘,2015,15(6):246.