摘要
目的:观察胸痛中心模式下优化急救护理流程在急性心肌梗死(AMI)患者中的应用效果。方法:选取2019年3月至2020年3月该院急诊科采取常规急救护理流程的45例AMI患者为对照组,选取2020年4月至2021年4月该院急诊科采取胸痛中心模式下优化急救护理流程的45例AMI患者为观察组。比较两组急救时间(急诊室停留时间、静脉通道开放时间、急诊室转出至血管开通时间和住院时间)、心血管不良事件发生率和护理满意度。结果:观察组急诊室停留时间、静脉通道开放时间、急诊室转出至血管开通时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组心血管不良事件发生率为4.44%(2/45),低于对照组的17.78%(8/45),差异有统计学意义(P<0.05);观察组操作技术、护理效果、护理态度和护理效率等护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:胸痛中心模式下优化急救护理流程应用于AMI患者可能够缩短救治时间,降低心血管不良事件发生率,提高护理满意度,效果优于常规急救护理流程。
Objective:To observe application effects of optimized emergency nursing process in patients with acute myocardial infarction(AMI)under chest pain center mode.Methods:45 AMI patients who received routine emergency nursing process in the emergency department of the hospital from March 2019 to March 2020 were selected as control group,while 45 AMI patients who optimized emergency nursing process under chest pain center mode were used as observation group.The emergency time(emergency room stay time,venous access opening time,the time from transferring out to interventional vascular balloon opening and hospitalization time),the incidence of adverse cardiovascular events and the nursing satisfaction were compared between the two groups.Results:The emergency room stay time,the venous channel opening time,the time from transferring out to interventional vascular balloon opening,the and hospitalization time in the observation group were all shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse cardiovascular and cerebrovascular events in the observation group was 4.44%(2/45),which was lower than 17.78%(8/45)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction scores of operation technique,nursing effect,nursing attitude and nursing efficiency in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The optimized emergency nursing process under the chest pain center mode applied to the AMI patients may shorten the treatment time,reduce the incidence of adverse cardiovascular events,and improve the nursing satisfaction.Moreover,it is superior to the routine emergency nursing process.
作者
赵旭林
白向威
ZHAO Xulin;BAI Xiangwei(Emergency Department of Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2022年第16期173-175,179,共4页
Medical Journal of Chinese People’s Health
基金
2020年河南省医学科技攻关计划(LHGJ20200106)。
关键词
急性心肌梗死
胸痛中心模式
优化急救护理流程
救治效果
心血管不良事件
护理满意度
Acute myocardial infarction
Chest pain center mode
Optimized emergency nursing process
Treatment effect
Adverse cardiovascular event
Nursing satisfaction
作者简介
赵旭林(1990.11-),男,汉族,河南新郑人,本科,主管护师,研究方向为急诊科护理;通信作者:白向威(1983.05-),男,汉族,河南周口人,本科,主管护师,研究方向为急危重症护理学、心理学。E-mail:bailao2007@126.com。
