目的 观察胸痛护士标准化工作流程的护理方式对急诊急性心肌梗死(AMI)患者救治中的效果及对心功能的影响。方法 选取2018年3月—2019年3月的120例急诊急性心肌梗死(AMI)患者,随机分为两组,每组60例。对照组采用常规流程护理,而观察组采取胸痛护士标准化工作流程。比较两组急诊AMI救治成功率;第一份心电图的时间、静脉通路建立的时间、患者肌钙蛋白cTnT监测结果出来的时间、药物服用的时间、家属签署知情同意书的时间、ICU停留的时间;比较护理前后左心室射血分数、心功能NYHA分级及并发症发生率。结果 观察组急诊AMI救治成功率高于对照组（P<0.05）。护理后观察组左心室射血分数、心功能NYHA分级优于对照组（P<0.05）。观察组第一份心电图的时间、静脉通路建立的时间、患者肌钙蛋白cTnT监测结果出来的时间、药物服用的时间、家属签署知情同意书的时间、ICU停留的时间均短于对照组(P<0.05)。观察组并发症发生率低于对照组, 差异具有统计学意义(P<0.05)。结论 急诊AMI患者实施胸痛护士标准化工作流程可获得较好的效果,可缩短护理和救治工作开展的时间,为患者抢救赢得宝贵的时间,从而提高抢救成功率和改善患者心功能,减少并发症。

Objective To evaluate the effects of standardized workflow of chest pain for nurses on the treatment of emergent acute myocardial infarction (AMI) and cardiac function. Methods A total of 120 AMI patients from March 2018 to March 2019 in our hospital were randomly divided into two groups, with 60 cases in each group. The control group was given routine nursing, while the observation group was given nursing care according to standardized workflow of chest pain. The success rate of AMI emergency treatment, as well as the time of the first electrocardiogram, venous access establishment, cTnT monitoring results, drug administration, family members signing informed consent, and ICU stay, were compared between the two groups; the left ventricular ejection fraction, NYHA grade of cardiac function, and the incidence of complications before and after nursing were also compared. Results The success rate of AMI emergency treatment in the observation group was significantly higher than that in the control group (P<0.05). After designed nursing care, the left ventricular ejection fraction and NYHA grade of the observation group were better than those of the control group (P<0.05). The time of the first electrocardiogram, venous access establishment, cTnT monitoring results, drug administration, family members signing informed consent, and ICU stay in the observation group were significantly shorter than those in the control group (P<0.05). The incidence rate of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion The implementation of standardized workflow of chest pain for nurses to patients with AMI can achieve good treatment effects, shorten the time of nursing and rescue work, improve the success rate of rescue patients’ heart function, and reduce complications.