优化急诊护理流程对急性心梗患者抢救的效果及对患者的焦虑、抑郁情绪的影响
Effect of optimizing emergency nursing process on rescue of patients with acute myocardial infarction and its effect on anxiety and depression of patients
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2023, 50(2) |
| 作者 |
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| 作者单位 |
开封市中心医院 心血管内科 ;
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| 摘要 |
【摘要】目的：观察急性心梗（Acute myocardial infarction，AMI）患者抢救中应用优化急诊护理流程的效果及对患者焦虑、抑郁情绪的影响。方法：选择2019年5月~2021年5月接诊的102例AMI患者，随机分为：观察组（纳入51例，提供优化急诊护理流程）、对照组（纳入51例，提供常规急诊护理流程），评价组间焦虑自评量表（Self-Rating Anxiety Scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）、Hevth希望量表（Hert hopeindex，HHI）、急诊抢救时间、抢救效果。结果：（1）护理后，观察组SAS、SDS、HHI评分优于对照组，P<0.05；（2）观察组分诊评估时间（1.65±0.11）min、心电图时间（4.27±0.86）min、建立输液通道时间（4.79±1.33）min、总抢救时间（45.53±5.53）min均少于对照组（2.27±0.46）min、（5.07±1.42）min、（5.46±1.85）min、（48.83±5.74）min，P<0.05；（3）观察组再次经皮冠状动脉介入治疗（Percutaneous coronary intervention，PCI）率（1.96%）低于对照组（19.61%），且急救成功率（96.08%）高于对照组（76.47%），P<0.05；组间AMI复发率无明显差异，P>0.05。结论：对AMI患者采用优化急诊护理流程，可以缩短抢救时间，增强抢救效果，减轻焦虑、抑郁情绪，提升希望水平，值得推广。
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| Abstract |
[Abstract] Objective: To observe the effect of optimizing emergency nursing process in the rescue of patients with acute myocardial infarction (AMI) and its effect on anxiety and depression. Methods: 102 patients with AMI admitted from May 2019 to may 2021 were randomly divided into observation group (51 cases were included to provide optimized emergency nursing process), control group (51 cases were included to provide routine emergency nursing process), self rating Anxiety Scale (SAS), self rating Depression Scale (SDS), and Hevth hope index (HHI), emergency rescue time and rescue effect. Results: (1) after nursing, the scores of SAS, SDS and HHI in the observation group were better than those in the control group (P < 0.05); (2) The evaluation time (1.65 ± 0.11) min, ECG time (4.27 ± 0.86) min, establishment time of infusion channel (4.79 ± 1.33) min and total rescue time (45.53 ± 5.53) min in the observation group were less than those in the control group (2.27 ± 0.46) min, (5.07 ± 1.42) min, (5.46 ± 1.85) min and (48.83 ± 5.74) min, P < 0.05; (3) The rate of re percutaneous coronary intervention (PCI) in the observation group (1.96%) was lower than that in the control group (19.61%), and the success rate of first aid (96.08%) was higher than that in the control group (76.47%) (P < 0.05); There was no significant difference in the recurrence rate of AMI between groups (P > 0.05). Conclusion: optimizing the emergency nursing process for patients with AMI can shorten the rescue time, enhance the rescue effect, reduce anxiety and depression, and improve the level of hope. It is worth popularizing.
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| 关键词 |
关键词：优化急诊护理流程；急性心梗；抢救效果；焦虑情绪；抑郁情绪
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| KeyWord |
Key words: optimize emergency nursing process; Acute myocardial infarction; Rescue effect; Anxiety; Depression
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| 基金项目 |
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| 页码 |
356-359 |
杨小芳*.
优化急诊护理流程对急性心梗患者抢救的效果及对患者的焦虑、抑郁情绪的影响 [J].
国际精神病学杂志.
2023; 50; (2).
356 - 359.