Application of STEMl nursing flow chart to emergency patients with OCl

doi:10.3969/j.issn.1006-7256.2014.19.005

Abstract：Objective:To study the application of acute ST-segment elevation myocardial infarction( STEMI)nursing flow chart to e-mergency patients with percutaneous coronary intervention( PCI). Methods:337 STEMI patients who underwent emergency treatment with PCI were divided into the control group(n=128),the experimental group A(n=98)and the experimental group B(n=111)according to the admission time. The routine nursing care was given to the patients in the control group;the nurses in the rescue room and catheter lab received the standardized theory and skills training,and the optimized nursing process was implemented by special nurses for STEMI in the experimental group A;STEMI nursing flow chart was adopted in the experimental group B. The quality indexes like the time from symptom onset to emergency treatment,D2B time,hospitalization days,the up-to-standard rate of D2B and fatality rate in the perioperative period in the hospital were compared between the groups. Results:There were statistically significant differences in the comparison of the time from symptom onset to emergency treatment,D2B time,hospitalization days and the up-to-standard rate of D2B between the experimental group A,B and the control group(P<0. 05);the comparison of the time from symptom onset to emergency treatment,hospitalization days and the up-to-standard rate of D2B was significantly different between and the experimental group A and B(P<0. 05). Conclusion:Application of STEMI nursing flow chart in emergency patients undergoing PCI can significantly improve nursing quality in the emergency treatment of STEMI.