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目的通过对比常规护理和CCU护理路径在急性心肌梗死(acute myocardial infarction,AMI)患者急诊冠状动脉介入治疗中的应用效果,分析CCU护理路径的临床应用价值。方法选取2015年1月—2016年6月诊断并采取急诊冠状动脉介入治疗的AMI患者85例作为研究对象,随机分为对照组(n=40)和实验组(n=45)。对照组患者治疗期间给予常规护理,实验组患者治疗期间按CCU护理路径进行护理,观察并对比两组患者的住院时间、住重症病房时间、卧床时间以及患者对护理工作的满意度等。计量资料采用t检验,计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果实验组患者的住院时间、住重症病房时间以及卧床时间分别为(9.0±0.9)、(3.1±0.5)d、(65.2±3.6)h,明显短于对照组的(10.8±0.8)、(4.2±0.5)d、(78.4±4.5)h,差异均有统计学意义(均P<0.05)。实验组患者对护理工作的满意度为97.8%,高于对照组的80.0%,差异有统计学意义(P<0.05)。结论 CCU护理路径应用于AMI患者急诊冠状动脉介入治疗中可缩短患者的住院时间、卧床时间以及住重症病房时间等,提高患者的满意度,具有一定的临床价值。
Objective To compare the clinical effects of routine care and CCU nursing pathways in patients undergoing acute coronary intervention (AMI) with acute myocardial infarction (AMI) and analyze the clinical value of CCU nursing pathways. Methods A total of 85 AMI patients diagnosed and treated with emergency PCI from January 2015 to June 2016 were randomly divided into control group (n = 40) and experimental group (n = 45). Patients in the control group were given routine care during the treatment period. Patients in the experimental group were treated according to the CCU nursing pathways during the treatment period. The length of hospital stay, the time spent in the intensive care unit, the bed time, and patient satisfaction with the nursing work were observed and compared. Measurement data using t test, count data using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The length of hospital stay, hospital stay and bed rest in the experimental group were (9.0 ± 0.9), (3.1 ± 0.5) days and (65.2 ± 3.6) days, respectively, which were significantly shorter than those in the control group (10.8 ± 0.8) 4.2 ± 0.5) d, (78.4 ± 4.5) h, the differences were statistically significant (P <0.05). The satisfaction degree of the experimental group to the nursing work was 97.8%, which was higher than 80.0% of the control group, the difference was statistically significant (P <0.05). Conclusions The application of CCU nursing pathway to AMI in patients undergoing AMI can shorten the length of hospital stay, bed rest and intensive care unit time, and improve patient satisfaction. It is of certain clinical value.