护理时效管理策略在急性ST段抬高型心肌梗死患者急救流程中的应用研究  

Application study of nursing time efficiency management strategy in emergency treatment process of patients with acute ST-segment elevation myocardial infarction

作　　者：龙春花 牟桂琴 LONG Chunhua;MOU Guiqin(Department of Cardiovascular Medicine,Chongqing University Three Gorges Hospital,Chongqing 404000,China)

机构地区：[1]重庆大学附属三峡医院心血管内科,重庆404000

出　　处：《现代医药卫生》2021年第1期39-43,共5页Journal of Modern Medicine & Health

基　　金：重庆市万州区科委资助项目(wzstc-2018005)。

摘　　要：目的探讨护理时效管理策略在急性ST段抬高型心肌梗死(STEMI)患者急救中的应用价值。方法将84例行经皮冠状动脉介入术治疗的STEMI患者按入院时间分组,2019年1—3月入院的43例患者设为对照组,按常规流程进行护理;2019年4—7月入院的41例患者设为研究组,采用护理时效管理策略进行护理。比较2组患者客观临床指标、护士自我效能感、医生对护理工作满意度得分等。结果研究组患者护理后客观临床指标中的门球时间、首份心电图检查时间、化验报告结果时间、负荷剂量药物服药入口时间、术前准备完善时间均明显短于对照组,低年资护士和高年资护士自我效能感得分、医生满意度得分均明显高于对照组,差异均有统计学意义(P<0.05);研究组患者护理后住院时间短于对照组,病死率低于对照组,但差异均无统计学意义(P>0.05)。结论STEMI患者急救流程中运用护理时效管理策略能消除浪费,提高工作效率,促进医护配合,为患者再灌注赢得时间,值得推广应用。Objective To explore the application value of nursing time efficiency management strategy in the emergency treatment of the patients with acute ST-segment elevation myocardial infarction(STEMI).Methods Eighty-four patients with acute STEMI treated by percutaneous coronary intervention were grouped according to the admission time,43 cases admitted from January to March 2019 were set as the control group and conducted the nursing according to the routine procedure,and 41 cases admitted from April to July 2019 served as the study group and adopted the time efficiency management strategy for conducting the nursing.The objective clinical indexes,nurses′self-efficacy and doctors′satisfaction on nursing work were compared between the two groups.Results Among the objective clinical indexes after nursing in the study group,the time of the gate-ball,time of the first electrocardiogram,time of the test results,oral time of loading drugs and perfecting time of preoperative preparation were significantly lower than those in the control group,the scores of nurses′self-efficacy and doctor′s satisfaction in the junior nurses and senior nurses were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).The hospitalization time and mortality rate after nursing in the study group were lower than those in the control group,but the difference was not statistically significant(P>0.05).Conclusion The application of nursing time efficiency management strategy during the emergency treatment process of the patients with acute STEMI can eliminate waste,improve the work efficiency,promote the doctor-nurse cooperation and win the time for patients with reperfusion,which is worth popularizing.

关 键 词：ST段抬高型心肌梗死 护理工作 急救 时效管理 

分 类 号：R473.5[医药卫生—护理学] R542.22[医药卫生—临床医学]