摘要
目的研究基层胸痛中心优化护理急救流程的建立及其在急性心肌梗死(acute myocardial infarction,AMI)患者救治中的应用效果。方法选择该院2016年6月—2017年3月胸痛中心成立前急诊收治的39例AMI患者,纳入常规组,实施一般急诊护理流程,选择2017年4月—2018年2月间成立胸痛中心后收治的39例AMI患者,纳入观察组,行优化护理急救流程,比较两组患者急救各环节用时、救治有效率、死亡率、生活质量评分。结果观察组患者AMI确诊用时、急诊停留时间、转运时间均优于常规组,差异有统计学意义(t=4.092、5.124、5.844,P<0.05)。观察组患者救治有效率为32例(82.05%),高于常规组25例(64.10%),差异有统计学意义(χ~2=8.188,P<0.05);观察组患者死亡率为1例(2.56%),低于常规组4例(10.26%),差异有统计学意义(χ~2=4.942,P<0.05)。观察组患者活动受限、情绪感受、心绞痛稳定、治疗满意度、心绞痛发作等生活质量评分均优于常规组,差异有统计学意义(t=13.658、14.694、35.601、35.032、27.966,P<0.05)。结论建立基层胸痛中心优化护理流程可有效缩短患者急救各个环节用时,提高急诊AMI患者抢救有效率、降低死亡率,提高生活质量。
Objective To study the establishment of optimal nursing first-aid procedure in the primary chest pain cen- ter and its application in the treatment of patients with acute myocardial infarction （AMI）. Methods A total of 39 pa- tients with AMI who were admitted to the emergency department before the establishment of the chest pain center from June 2016 to March 2017 in the hospital were enrolled in the routine group to implement the general emergency care process. After the establishment of the chest pain center between April 2017 and February 2018, 39 patients with AMI were enrolled in the observation group, and the nursing first-aid procedure was optimized. The time, treatment effi- ciency, mortality, and quality of life scores of the first-line patients were compared. Results The AMI diagnosis time, emergency stay time and transit time were better than the conventional group,the different was statistically significant（t= 4.092, 5.124, 5.844, P〈0.05）. The effective rate of treatment in the observation group was 32 （82.05%）, which was high- er than that in the conventional group （25.10%）,the different was statistically significant（x2=8.188, P〈0.05）. The mortali- ty of the observation group was 1 case （2.56%）, which was lower than 4 patients in the routine group （10.26%）,the dif- ferent was statistically significant（χ2=4.942, P〈0.05）. The quality of life scores of patients in the observation group were better than those in the conventional group,the different was statistically significant （t=13.658, 14.694, 35.601, 35.032, 27.966, P〈0.05）. Conclusion The establishment of a basic chest pain center optimization nursing process can effective- ly shorten the time spent on all aspects of emergency treatment, improve the efficiency of emergency AMI patients, re- duce mortality and improve quality of life.
作者
吕月平
关丽荣
LYU Yue-ping;GUAN Li-rong(Department of Cardiology,Inner Mongolia Bayannaoer Hospital,Bayannaoer,Inner Mongolia,015000 China;Nurs-ing Department,Inner Mongolia Bayannaoer City Hospital,Bayannaoer,Inner Mongolia,015000 China)
出处
《系统医学》
2018年第20期196-198,共3页
Systems Medicine
关键词
急性心肌梗死
护理
急救
胸痛中心
生活质量
Acute myocardial infarction
Nursing
First aid
Chest pain center
Quality of life
