大面积心肌梗死合并心跳骤停患者实施EICU针对性护理干预模式与感染预防的研究

Study on targeted nursing intervention mode of emergency intensive care unit inpatients with large area myocardial infarction complicated with cardiac arrest and prevention of infection

  • 摘要: 目的 探讨大面积心肌梗死合并心跳骤停患者实施急诊重症监护室(EICU)针对性干预模式的效果及预防感染效果。方法 回顾性分析2016年2月-2017年5月于医院EICU治疗的112例大面积心肌梗死合并心跳骤停患者的临床资料,按护理方式不同分为研究组与对照组,各56例,对照组给予常规护理干预,研究组给予针对性护理干预,对比两组抢救成功率、感染发生率、呼吸与心跳恢复时间、生活质量及并发症发生情况。结果 研究组抢救成功率为92.86%高于对照组76.79%,研究组无感染患者,对照组感染患者6例(P均<0.05);研究组呼吸与心跳恢复时间分别为(4.52±0.83)min、(15.62±2.28)min短于对照组(7.63±1.24)min、(22.18±3.80)min(P<0.001);干预后,两组健康调查简表(SF-36)各项评分均上升,研究组各项评分优于对照组(P<0.05);研究组发生并发症3例少于对照组10例(P<0.05)。结论 对大面积心肌梗死合并心脏骤停患者实施EICU针对性干预模式可有效提高抢救成功率,降低感染率,促进呼吸与心跳恢复,同时降低并发症的发生,提高生活质量。

     

    Abstract: OBJECTIVE To investigate the effect of interventional mode of intervention in emergency intensive care unit (EICU) and prevention of infection in patients with large area myocardial infarction and cardiac arrest. METHODS The clinical data of 112 patients with large area myocardial infarction complicated with cardiac arrest treated in hospital from Feb. 2016 to May 2017 were retrospectively analyzed, and were divided into study group and control group according to different nursing methods, with 56 cases in each group. Patients in control group were given routine nursing intervention, and in study group were given targeted nursing intervention. The resuscitation success rate, infection rate, respiration and heartbeat recovery time, quality of life and complications between the two groups were compared. RESULTS The resuscitation success rate in study group was 92.86%, which was higher than 76.79% in control group, and there were no infected patients in study group, and 6 cases of infected patients in control group (P<0.05). The recovery time of respiration and heartbeat in study group were (4.52±0.83) min and (15.62 ± 2.28 ) min, which were shorter than (7.63±1.24) min and (22.18±3.80) min in control group (P<0.001). After intervention, scores of SF-36 in both groups were increased, and the scores of study group were better than those of control group (P<0.05). There were 3 cases of complications in study group, which were less than 10 cases in control group (P<0.05). CONCLUSION The implementation of EICU targeted intervention in patients with large area myocardial infarction complicated with cardiac arrest can effectively improve the success rate of rescue, reduce the infection rate, promote respiration and heartbeat recovery, reduce the incidence of complications and improve the quality of life.

     

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