摘要
目的观察规范化急救全程优质护理路径在急性心肌梗死(acute myocardial infarction,AMI)患者中的应用效果,探索快捷规范经济的急救护理程序。方法采用历史对照研究,将深圳市龙华区中心医院急诊科2017年1月至6月采用规范化急救全程优质护理路径救治的73例AMI患者设为试验组,2016年7月至12月常规急诊护理的71例AMI患者设为对照组,比较两组患者时效性相关指标,包括分诊、激活导管室、就诊至球囊扩张(D2B)时间、住院时间及救治成功率。结果试验组患者分诊时间、激活导管室时间、D2B时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。试验组D2B达标率(80.82%)高于对照组(56.34%),差异有统计学意义(P<0.05)。抢救成功率试验组(97.26%)与对照组(92.96%)比较差异无统计学意义(P>0.05)。结论规范化急救全程优质护理路径可提高AMI患者救治时效,值得临床推广。
Objective To observe the application effect of high-quality nursing path of the whole standardized first-aid course in patients with acute myocardial infarction （AMI） and explore the emergency nursing procedures with rapidity, standardization and economy. Methods The historical control study was used in the study. 73 AMI cases receiving high-quality nursing path of the whole standardized first-aid course in The Central Hospital of Longhua District from January of 2017 to June of 2017 were selected and classified into the experiment group, while the other 71 AMI cases receiving the conventional nursing from July of 2017 to December of 2017 were enrolled into the control group. The two groups were compared in terms of the timeliness related indicators including triage time, activation time of catheter room, door to balloon （D2B） time, length of hospital stay and success rate of treatment. Results The experiment group was significantly better than the control group in the triage time, activation time of catheter room, D2B time, and length of hospital stay （ P 〈0.05）. The standard-reaching rate of D2B in the experiment group （80.82%） was significantly higher than that in the control group （56.34%） （ P 〈0.05）. The success rate of treatment in the experiment group （97.26%） was not significantly different from that in the control group （92.96%） （ P 〉0.05）. Conclusion The high-quality nursing path of the whole standardized first-aid course can improve the emergency timeliness of treating AMI patients, so it＇s worth the clinical popularization.
作者
王宇
陈云云
周鸳
魏丹
Wang Yu;Chen Yunyun;Zhou Yuan;Wei Dan(Department of Emergency,The Central Hospital of Longhua District,Shenzhen 518110,China)
出处
《成都医学院学报》
CAS
2018年第3期371-373,377,共4页
Journal of Chengdu Medical College
关键词
急诊
全程优质护理路径
急性心肌梗死
Emergency
High-quality nursing path of whole course
Acute myocardial infarction
