Effect of individualized nursing care in pre-hospital emergency nursing care of patients with acute myo-cardial infarction / 心血管康复医学杂志

ABSTRACT

Objective:To explore effect of individualized nursing care in pre-hospital first aid on patients with acute myocardial infarction(AMI).Methods:A total of 49 AMI patients treated from May 2014 to Jun 2015 were regar-ded as routine nursing group(received routine pre-hospital emergency nursing),and 49 AMI patients treated from Jul 2015 to Aug 2016 were enrolled as individualized nursing group(received individualized nursing in pre-hospital e-mergency nursing).First aid efficiency,incidence of cardiovascular events,mortality and nursing satisfaction were observed and compared between two groups.Results:Compared with routine nursing group,there were significant reductions in visiting reaction time[(69.53 ± 8.36)s vs.(53.92 ± 7.84)s],pre-hospital first aid time[(32.71 ± 4.20)min vs.(17.85 ± 2.74)min],admission time[(2.59 ± 0.78)h vs.(1.92 ± 0.46)h]and total incidence rate of cardiovascular events(16.33% vs.4.08%)in individualized nursing group,P<0.05 or <0.01. There was no significant difference in mortality between two groups,P=0.065. Among survivors,total satisfaction for nurs-ing in individualized nursing group was significantly higher than that of routine nursing group(93.75% vs. 78.57%),P=0.035.Conclusion:In pre-hospital first aid nursing of AMI patients,individualized nursing can sig-nificantly improve first aid efficiency,reduce risk of complications and improve the relationship between nurses and patients,which is worth extending.