CAJ | 학술논문

目的：：探讨预见性护理措施在急性心肌梗死患者院前急救中的应用效果。方法：将124例急性心肌梗死患者随机分为对照组和观察组，对照组患者给予常规救护，观察组患者提供预见性护理措施，比较2组患者的有效救护时间、救护成功率、平均住院时间以及并发症发生率。结果：观察组患者有效救护时间与平均住院时间均短于对照组，救护成功率高于对照组(P<0.01)。观察组患者在室性心律失常、左心衰竭及心源性休克并发症发生率方面均明显低于对照组(P<0.01)。结论：预见性护理措施提高了患者的救治成功率，缩短了急性心肌梗死患者院前急救的有效抢救时间和住院时间，并降低并发症的发生，提高了患者的救护质量。
목적：：탐토예견성호리조시재급성심기경사환자원전급구중적응용효과。방법：장124례급성심기경사환자수궤분위대조조화관찰조，대조조환자급여상규구호，관찰조환자제공예견성호리조시，비교2조환자적유효구호시간、구호성공솔、평균주원시간이급병발증발생솔。결과：관찰조환자유효구호시간여평균주원시간균단우대조조，구호성공솔고우대조조(P<0.01)。관찰조환자재실성심률실상、좌심쇠갈급심원성휴극병발증발생솔방면균명현저우대조조(P<0.01)。결론：예견성호리조시제고료환자적구치성공솔，축단료급성심기경사환자원전급구적유효창구시간화주원시간，병강저병발증적발생，제고료환자적구호질량。
Objective:To explore the effects of the predictive nursing on pre-hospital first aid of patients with acute myocardial infarction. Methods:One hundred and twenty-four patients with acute myocardial infarction were randomly divided into the control group and observation group. The control group and observation group were treated with the routine nursing and predictive nursing, respectively. The effective rescue time, rescue success rate, average hospital stay and incidence of complications between two groups were compared. Results:The effective rescue time and average hospital stay in observation group were shorter than that in control group, the rescue success rate in observation group was higher than that in control group(P<0. 01). The incidences of ventricular arrhythmia, left heart failure and cardiac shock in observation group were lower than that in control group(P<0. 01). Conclusions:The predictive nursing can improve the rescue success rate, shorten the effective rescue time of pre-hospital first aid and hospital stay, reduce the incidence of complications and improve the nursing quality of the patients.