急性心肌梗死患者急诊救治管理系统的开发与应用  

Development and application of emergency treatment and management system for patients with acute myocardial infarction

作　　者：甘甜 黄静[2] 黄海东 芦纯紫 余桂林[4] 阮国然 Gan Tian;Huang Jing;Huang Haidong;Lu Chunzi;Yu Guilin;Ruan Guoran(Department of Emergency,Wuhan Puren Hospital,The Affiliated Hospital of Wuhan University of Science and Technology,Wuhan 430081,China)

机构地区：[1]武汉科技大学附属武汉市普仁医院急诊科,湖北武汉430081 [2]武汉科技大学附属武汉市普仁医院护理部,湖北武汉430081 [3]武汉科技大学附属武汉市普仁医院心血管科,湖北武汉430081 [4]武汉科技大学医学院

出　　处：《护理学杂志》2020年第18期71-74,共4页Journal of Nursing Science

基　　金：湖北省卫生健康委员会联合基金项目(WJ2019H345);武汉市医学科研项目(WG19A01)。

摘　　要：目的加强急性心肌梗死患者急诊救治管理,缩短患者救治时间。方法在医院现有信息系统基础上,基于PDA构建急性心肌梗死患者急诊救治管理系统,实现对急性心肌梗死患者抢救过程的智能化全程监控。将此系统应用于2019年收治的75例患者(观察组),并与2018年的84例患者(对照组)进行应用效果比较。结果观察组门球时间及救治各环节用时显著短于对照组(均P<0.01);系统应用后观察组抢救路径完整执行率达到86.67%,医护人员对系统使用满意率为93.33%。结论基于PDA开发的急性心肌梗死救治管理系统,可规范患者诊疗过程,实现对患者抢救过程的科学管理,有效缩短患者门球时间,有利于提高抢救效率。Objective To strengthen the management of emergency treatment for patients with Acute Myocardial Infarction(AMI),and to shorten their treatment time.Methods Based on the present existing hospital information system and PDA,the emergency treatment and management system for AMI patients was developed to realize the intelligent monitoring of the whole rescue process.Then the system was applied to 75 AMI patients(experimental group)admitted in 2019,and compared with the 84 AMI patients(control group)admitted in 2018.Results The door-to-balloon time and the whole rescuing time of the experimental group were significantly shorter than those of the control group(P<0.01 for both).After the application of the system,the complete implementation rate of the rescue path in the experimental group was 86.67%,and medical staff′s satisfaction on using the system reached 93.33%.Conclusion The emergency treatment and management system for AMI patients based on PDA,can standardize the diagnosis and treatment process,realize the scientific management of patients′rescue process,shorten the door-to-balloon time effectively,and it is conducive to improving the rescue efficiency.

关 键 词：急性心肌梗死 急诊救治 管理系统 信息化系统 门球时间 

分 类 号：R473.5[医药卫生—护理学] C931.6[医药卫生—临床医学]