急性心肌梗死患者临床护理路径实施效果的探讨.docVIP

急性心肌梗死患者临床护理路径实施效果的探讨 　　doi：10.3969/j.issn.1007-614x.2014.11.84 　　摘 要 目的：探讨临床急救护理路径在急性心肌梗死患者中的应用效果。方法：将84例急性心肌梗死患者随机分为对照组和观察组两组，对照组按照传统护理模式进行护理，观察组以临床急救护理路径模式实施护理，对两组的效果进行比较。结果：观察组的住院时间、卧床时间明显短于对照组，对疾病知识的掌握以及护理满意度明显高于对照组，并且观察组的并发症发生率明显低于对照组，两组间差异均具有统计学意义（P0.05）。结论：临床急救护理路径可明显缩短急性心肌梗死患者的住院和卧床时间，降低并发症发生率，提高患者的满意度。 　　关键词 急性心肌梗死 临床护理路径 满意度 　　Investigatation of the implementation effect of clinical nursing pathway for patients with acute myocardial infarction 　　Liu Yihong，Fu Ning 　　The Peoples Hospital of Xuwen County，Guangdong 524100 　　Abstract Objective：To investigate the application effect of clinical nursing pathway for the patients with acute myocardial infarction.Methods：84 patients with acute myocardial infarction were randomly divided into the control group and the observation group.The control group was managed by traditional nursing mode，the observation group was managed by clinical emergency care path model.We compared the effect of two groups.Results：In the observation group，the hospitalization time and bed time of patients were shorter than the control group，the disease knowledge and nursing satisfaction were significantly higher than the control group，and the incidence rate of complications was lower than that of the control group，the differences between the two groups were statistically significant（P0.05）.Conclusion：Clinical nursing pathway can significantly reduce hospitalization and bed time of the patients with acute myocardial infarction，reduce the incidence rate of complications，and improve patient satisfaction，so it is worthy of clinical application. 　　Key words Acute myocardial infarction；Clinical nursing pathway；Satisfaction 　　急性心肌梗死（AIM）是临床中较为常见的疾病之一，患者通常病情危急，病死率高，是目前临床公认的急性心血管疾病之一。因AIM急救的时间窗对患者至关重要，在抢救的过程中需建立起一套特别的急救护理程序[1]。临床护理路径是一种对某种疾病的大部分患者最为有效的照顾流程，在这种模式下，护理工作由盲目地执行医嘱，转变为有计划和有预见性地进行护理，从而优化整个护理服务流程，减少不必要的时间浪费，提高临床治疗的有效性和护理服务的质量[2，3]。为此，在本文中我们研究了在急性心肌梗死患者的临床护理中实施临床护理路径的效果，现报告如下。 　　资料与方法 　　2013年1月-2014年1月收治急性心肌梗死患者84例，男52例，女32例；年龄22