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目的分析综合护理模式在心肌梗死治疗中的护理配合。方法选择2015年3月-2017年3月期间来阳山县人民医院心血管内科就诊的急性心肌梗死患者116例,随机分为对照组和观察组各58例,对照组实施基础护理,观察组实施综合护理,对比分析护理效果及对不良情绪影响。结果观察组存活率为98.28%,高于对照组的86.21%,差异有统计学意义(P<0.05);急救情况以及住院时间均较对照组优,差异均有统计学意义(P<0.05);两组患者护理前PⅠCP、PCⅢ、MMP-1以及TIMP-1指标的差异均无统计学意义(P>0.05);观察组护理后PICP、PCⅢ、MMP-1显著低于对照组;观察组TIMP-1显著高于对照组,差异均有统计学意义(P<0.05),同时,观察组患者SDS、SAS改善效果明显优于对照组,差异亦有统计学意义(P<0.05)。结论综合护理模式应用于治疗急性心肌梗死,可显著提高抢救成功率,缓解负性情绪。
Objective To analyze the nursing coordination of comprehensive nursing model in the treatment of myocardial infarction. Methods A total of 116 acute myocardial infarction patients from Department of Cardiology, Yangshan People’s Hospital, from March 2015 to March 2017 were randomly divided into control group and observation group (58 cases each). The control group received basic nursing and observation group The implementation of comprehensive care, comparative analysis of nursing effects and adverse emotional effects. Results The survival rate of the observation group was 98.28%, which was higher than that of the control group (86.21%), the difference was statistically significant (P <0.05); the emergency situation and length of stay were better than the control group (P <0.05) ; There was no significant difference in the indexes of PⅠCP, PCⅢ, MMP-1 and TIMP-1 between the two groups before nursing (P> 0.05); the PICP, PCⅢ and MMP-1 in the observation group were significantly lower than those in the control group TIMP-1 was significantly higher than that of the control group (P <0.05). Meanwhile, the improvement effect of SDS and SAS in the observation group was significantly better than that in the control group (P <0.05). Conclusion The comprehensive nursing model applied to the treatment of acute myocardial infarction can significantly improve the success rate of rescue and relieve negative emotions.