临床护理路径在86例急性心肌梗死患者中应用效果分析.docVIP

临床护理路径在86例急性心肌梗死患者中的应用效果分析 　　[摘要]目的 探讨临床护理路径在急性心肌梗死患者中的应用效果，为今后临床实践提供参考和借鉴。方法 选取2012年1月―2013年1月期间该院收治的86例急性心肌梗死患者为研究对象，根据护理方式的不同分为两组，对照组患者给予临床常规护理，观察组患者给予临床护理路径护理，比较两组患者的护理效果。结果 观察组患者的护理满意度明显高于对照组患者（P0.05）；观察组患者的住院时间、并发症的发生情况明显低于对照组患者（P0.05），差异具有统计学意义。结论 临床护理路径在急性心肌梗死患者中的应用效果比较好，能够提高患者的生活质量，缩短住院时间，减少并发症的发生，提高护理满意度，值得在临床实践中广泛的应用和推广。 　　[关键词]临床护理路径；急性心肌梗死；应用效果 　　[中图分类号]R47 [文献标识码]A [文章编号]1674-0742（2015）03（c）-0167-02 　　[Abstract] Objective To explore the application effect of clinical nursing path on 86 cases with acute myocardial infarction so as to provide a reference for future clinical practice. Methods 86 cases with acute myocardial infarction admitted in our hospital from January 2012 to January 2013 were selected as the subjects and divided into two groups in accordance with different method of nursing. Patients in the control group were given the clinical conventional nursing care， while those in the observation group were given the clinical nursing path care. And the nursing effect was compared between the two groups. Results The nursing satisfaction of the observation group was obviously higher than that of the control group（P0.05）； the length of stay， incidence of complications was much less than that of the control group， respectively， the differences were statistically significant（P0.05）. Conclusion Clinical nursing pathway has good application effect on patients with acute myocardial infarction， which can improve the quality of life， shorten the length of stay， reduce the incidence of complications and enhance nursing satisfaction， therefore it is worthy of wide application and promotion in clinical practice. 　　[Key words] Clinical nursing path； Acute myocardial infarction； Application effect 　　急性心肌梗死是临床内科比较常见的疾病，该病发展迅速且病情变化比较快，死亡率较高，常见于中老年人群，其临床症状主要表现为胸痛、胸闷，心前区不适，可伴有心力衰竭、心律失常等症状，病情较重的患者甚至会发生猝死，严重威胁其生命安全[1]。近年来，随着人们的生活水平不断提高，急性心肌梗死的发病率也呈现上升趋势，并且向年轻化发展，已经成为危害人们健康的主要疾病。该病的病理基础[2]主要为患者出现冠状动脉粥样硬化，心肌血流供给中断或者急剧减少，导致严重而持久的心肌缺血、坏死。因此，正确的救治方法、合理的护理方式，对降低急性心肌