急诊科护士对心梗患者并发症预防护理效果的临床回顾性研究
Clinical Retrospective Study on the Effect of Nursing for Preventing Complications in Patients with Myocardial Infarction by Emergency Department Nurses
DOI: 10.12677/ns.2026.154124, PDF,   
作者: 容丽红, 侯 静, 叶 芳*：新疆医科大学第六附属医院急诊科，新疆 乌鲁木齐；王新茹：新疆医科大学第六附属医院脊柱外二科，新疆 乌鲁木齐
关键词: 急诊科护士；心肌梗死；并发症；预防护理；临床回顾性研究；预后；Emergency Department Nurses； Myocardial Infarction； Complications； Preventive Nursing； Clinical Retrospective Study； Prognosis
摘要: 目的：回顾性分析急诊科护士对心肌梗死(心梗)患者并发症预防护理的实施情况及临床效果，明确护理要点及影响因素，为优化急诊科心梗患者护理方案、降低并发症发生率、改善患者预后提供临床参考。方法：选取本院急诊科2021年1月至2023年12月收治的186例心梗患者作为研究对象，回顾性分析所有患者的临床资料、急诊科护士实施并发症预防护理的具体措施(心律失常、心力衰竭、心源性休克、肺部感染等并发症针对性护理)，根据护理质量分为优质护理组(98例)和常规护理组(88例)，比较两组患者并发症发生率、急救成功率、住院时间及护理满意度，分析急诊科护士并发症预防护理的实施效果及影响因素。结果：优质护理组患者并发症发生率(8.16%)显著低于常规护理组(22.73%)，急救成功率(95.92%)显著高于常规护理组(83.07%)，住院时间显著短于常规护理组，护理满意度(96.94%)显著高于常规护理组(85.23%)，差异均有统计学意义(P < 0.05)。多因素Logistic回归分析显示，护士心梗急救护理经验、并发症预防护理培训经历、护理流程规范度是影响并发症预防护理效果的主要因素(P < 0.05)。结论：急诊科护士对心梗患者实施科学、规范的并发症预防护理，可有效降低患者心律失常、心力衰竭等并发症发生率，提高急救成功率，缩短住院时间，提升护理满意度；加强急诊科护士心梗并发症预防护理培训、规范护理流程，可进一步提升护理效果，值得临床推广应用。
Abstract: Objective: To retrospectively analyze the implementation and clinical effect of complication prevention nursing for patients with Myocardial Infarction (MI) by emergency department nurses, clarify the key nursing points and influencing factors, so as to provide clinical reference for optimizing the nursing plan for MI patients in emergency department, reducing the incidence of complications and improving patients’ prognosis. Methods: A total of 186 MI patients admitted to the emergency department of our hospital from January 2021 to December 2023 were selected as the research subjects. The clinical data of all patients and the specific measures of complication prevention nursing implemented by emergency department nurses (targeted nursing for complications such as arrhythmia, heart failure, cardiogenic shock and pulmonary infection) were retrospectively analyzed. According to the nursing quality, the patients were divided into a high-quality nursing group (98 cases) and a routine nursing group (88 cases). The incidence of complications, emergency success rate, hospital stay and nursing satisfaction were compared between the two groups, and the implementation effect and influencing factors of complication prevention nursing by emergency department nurses were analyzed. Results: The incidence of complications in the high-quality nursing group (8.16%) was significantly lower than that in the routine nursing group (22.73%), the emergency success rate (95.92%) was significantly higher than that in the routine nursing group (83.07%), the hospital stay was significantly shorter than that in the routine nursing group, and the nursing satisfaction (96.94%) was significantly higher than that in the routine nursing group (85.23%), with statistically significant differences (P < 0.05). Multivariate Logistic regression analysis showed that nurses’ emergency nursing experience in MI, training experience in complication prevention nursing and standardization of nursing process were the main factors affecting the effect of complication prevention nursing (P < 0.05). Conclusion: The implementation of scientific and standardized complication prevention nursing for MI patients by emergency department nurses can effectively reduce the incidence of complications such as arrhythmia and heart failure, improve the emergency success rate, shorten the hospital stay and enhance nursing satisfaction. Strengthening the special training of emergency department nurses on MI complication prevention nursing and standardizing the nursing process can further improve the nursing effect, which is worthy of clinical promotion and application.
文章引用：容丽红, 王新茹, 侯静, 叶芳. 急诊科护士对心梗患者并发症预防护理效果的临床回顾性研究 [J]. 护理学, 2026, 15(4): 218-225. https://doi.org/10.12677/ns.2026.154124

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