摘要
目的探讨急性心肌梗死患者首诊延迟的相关因素及干预效果。方法采用问卷调查法,调查患者首诊延迟情况。将发病60 min内到院或经院前急救的45例患者设为首诊组、发病60 min后到院或未经院前急救的45例患者设为对照组,对2组患者进行调查分析,并给予健康教育。首诊组患者及家属接受30～60min访谈健康教育,出院后电话随访加强干预,对照组进行常规健康教育,3个月后比较2组干预后的效果。结果 3个月后首诊组在冠心病的发作知识、态度和控制方面均较对照组有显著性提高(P<0.05)。结论急性心肌梗死患者首诊延迟现象严重,应加强高危人群冠心病知识教育。早期进行健康教育可以提高患者在发作时的应对能力与控制水平,减少首诊延迟。
Objective To discuss the related factors and nursing of first consultation delay of acute myocardial infarction patients. Methods Questionnaires were used to investigate 90 acute myocardial infarction patients. 45 patients who came to the hospital with in 60 minutes after the acute myocardial infarction attacked were experiment group and those who came to the hospital after 60 minutes were control group. The experi- ment group accepted 30 - 60minutes health education in the hospital and telephone communication after discharged from hospital to strengthen the intervention,while the control group only accepted regular health education. The effects after intervention were compared. Results After 3 months ,the experiment group＇s knowledge, attitude and control ability were better than the control group＇s （P〈0.05）. Conclusions The first consultation delay of acute myocardial infarction patients is common. Early health education about knowledge, attitude and control ability to acute myocardial infarction patients and health education to coronary heart disease patients can reduce first consultation delay.
关键词
急性心肌梗死
首诊延迟
因素
干预
Acute Myocardial Infarction
First Consultation Delay
Factors
Nursing
