Application effect of integrated nursing care combined with infarction green channel nursing in patients with acute heart infarction
整合式护理联合心梗绿色通道护理在急性心梗患者中的应用效果

摘要

目的 评价整合式护理联合心梗绿色通道护理在急性心梗患者中的应用效果。方法 收集2023年1月至2024年3月我院急诊科接诊的382例急性心梗患者资料，随机抽取80例分为整合组（整合式护理联合心梗绿色通道护理，40例）和常规组（常规急诊护理流程，40例）。所有患者均在12小时内接受急诊PCI。比较两组的急诊抢救时间、心功能指标改善情况。结果 整合组在建立输液通道时间（4.72±1.34）min和总抢救时间（45.29±5.27）min均短于常规组（5.48±1.82）min、（48.96±5.43）min，差异有统计学意义（P＜0.05）。抢救和护理后，两组心功能指标均显著改善，整合组LVEF更高，LVESD和LVEDD更低（P＜0.05）。实施整合式护理联合心梗绿色通道护理后，整合组患者及家属的护理满意度97.50%明显高于常规组的80.0%（P＜0.05）。结论 整合式护理联合心梗绿色通道护理在急性心梗患者抢救中效果显著，可缩短抢救时间，改善心功能，值得推广。

Abstract

Objective To evaluate the application effect of integrated nursing combined with green channel nursing for heart attack in patients with acute heart attack.
Methods The data of 382 patients with acute heart infarction seen in the emergency department of our hospital from January 2023 to March 2024 were collected, and 80 cases were randomly selected and divided into an integrated group (integrated care combined with heart infarction green channel care, 40 cases) and a conventional group (conventional emergency care process, 40 cases). All patients received emergency PCI within 12 h. The emergency rescue time and improvement of cardiac function indexes of the two groups were compared.
Results The integration group was shorter than the conventional group (5.48±1.82) min and (48.96±5.43) min in the establishment of infusion channel time (4.72±1.34) min and the total resuscitation time (45.29±5.27) min, and the difference was statistically significant (P<0.05). After rescue and care, the cardiac function indexes of both groups improved significantly, with higher LVEF and lower LVESD and LVEDD in the integrated group (P < 0.05). After the implementation of integrated care combined with green channel care for heart attack, the nursing satisfaction of patients and their families in the integrated group was 97.50% significantly higher than that of 80.0% in the conventional group (P < 0.05).
Conclusion   Integrated nursing combined with infarction green channel nursing is effective in the rescue of patients with acute heart attack, which can shorten the rescue time and improve the cardiac function, and is worth promoting.