CAJ | 학술논문

目的：探讨预见性护理在急性心肌梗死（AMI）急诊静脉溶栓治疗中的应用与效果。方法：将89例接受静脉溶栓治疗的急性心肌梗死患者随机分为观察组和对照组。对照组48例给予常规护理，观察组41例给予预见性护理。比较两组患者入门溶栓时间、溶栓后 IRA 再通率及不良反应发生情况。结果：入门溶栓时间观察组较对照组平均缩短13 min ，差异有统计学意义（P ﹤0.05）。溶栓后 IRA 再通率观察组较对照组提高18.7％，差异有统计学意义（P ﹤0.05）。不良反应和并发症发生率观察组较对照组降低30.43％，差异有统计学意义（P ﹤0.05）。结论：预见性护理能缩短 AMI 患者入门溶栓时间，提高溶栓后 IRA 再通率，降低不良反应发生率，提升 AMI 静脉溶栓效果。
목적：탐토예견성호리재급성심기경사（AMI）급진정맥용전치료중적응용여효과。방법：장89례접수정맥용전치료적급성심기경사환자수궤분위관찰조화대조조。대조조48례급여상규호리，관찰조41례급여예견성호리。비교량조환자입문용전시간、용전후 IRA 재통솔급불량반응발생정황。결과：입문용전시간관찰조교대조조평균축단13 min ，차이유통계학의의（P ﹤0.05）。용전후 IRA 재통솔관찰조교대조조제고18.7％，차이유통계학의의（P ﹤0.05）。불량반응화병발증발생솔관찰조교대조조강저30.43％，차이유통계학의의（P ﹤0.05）。결론：예견성호리능축단 AMI 환자입문용전시간，제고용전후 IRA 재통솔，강저불량반응발생솔，제승 AMI 정맥용전효과。
Objective To evaluate the effect of Predictive Nursing in thrombolytic therapy for patients with acute myocardial infarction (AMI)in emergency departmentsMethod 89 cases of AMI patients were randomly divided into control group(48 cases)and observation group(41 cases). The control group received routine nursing program while the observation group were given predictive nursing proce-dure. Door - to - needle time,recanalization rate and adverse reactions were compared in two groups. Results Compared with the control group,the observation group had shorter door - to - needle time[(32. 93 ± 9. 84)min vs.(46. 04 ± 11. 86)min,P ﹤ 0. 05],higher recanal-ization rate(85. 37% vs. 66. 67% ,P ﹤ 0. 05)and lower incidence of adverse reactions(34. 15% vs. 64. 58% ,P ﹤ 0. 05). Conclusion -Predictive nursing can shorten door - to - needle time,increase recanalization rate,reduce the incidence of adverse reactions and improve the outcome of thrombolytic therapy in patients with AMI.