Emergency effect of the seamless nursing for patients with acute myocardial infarction in emergency

Jinyan You, Jing Li, Chunmei Fu, Dongmei Deng
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Abstract

Objective To explore the emergency effect of the seamless nursing for patients with acute myocardial infarction in emergency. Methods A total of 102 patients with AMI received pre-emergency treatment in the emergency department of Hainan West Central Hospital were randomly divided into control group and experimental group, with 51 cases each.The control group was given routine nursing, and the experimental group was given no-gap nursing.The response time, electrocardiogram time, total emergency time and emergency admission time of the two groups were recorded. Meanwhile, the success rate of first aid, the success rate of transport and the emergency diagnosis rate were recorded.Anxiety and depression levels were assessed in both groups, and nursing satisfaction was investigated. Results The difference of response time, electrocardiogram time, total emergency time and emergency admission time between the experimental group and the control group was statistically significant (P<0.05). At the same time, the emergency diagnosis rate, transport success rate and first aid success rate of the experimental group were significantly increased compared with the control group, and the SAS and SDS scores of the experimental group were significantly reduced compared with the control group after nursing, the differences were statistically significant (P<0.05). In addition, the difference of nursing satisfaction between the control group and the experimental group was statistically significant (P<0.05). Conclusions Application of seamless nursing in emergency procedures of AMI could improve the efficiency of visit, improve the success rate of patient rescue, relieve the anxiety and depression of patients, and improve the satisfaction of patients. Key words: Seamless nursing; Acute myocardium infarction; Emergency
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急诊无缝护理对急性心肌梗死患者的应急效果
目的探讨急诊无缝护理对急性心肌梗死患者的急救效果。方法将海南省西部中心医院急诊科102例AMI患者随机分为对照组和实验组,每组51例。对照组给予常规护理,实验组给予无间隙护理。记录两组患者的反应时间、心电图时间、总急诊时间和急诊入院时间。同时记录急救成功率、转运成功率和急诊诊断率。对两组患者的焦虑和抑郁水平进行评估,并对护理满意度进行调查。结果实验组与对照组在反应时间、心电图时间、总急诊时间和急诊入院时间上的差异有统计学意义(P<0.05),同时实验组的急诊诊断率、转运成功率和急救成功率均显著高于对照组,实验组护理后SAS、SDS评分较对照组明显降低(P<0.05),结论在AMI急诊中应用无缝护理,可以提高就诊效率,提高抢救成功率,缓解患者的焦虑和抑郁情绪,提高患者的满意度。关键词:无缝护理;急性心肌梗死;紧急情况
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