胸痛中心建立下护理团队在急性STEMI救治中的护理效果评价  

An evaluation of the nursing effect of nursing team in the treatment of acute STEMI with the establishment of the chest pain center

作　　者：熊亚莉 王平 董梦舒 XIONG Yali;WANG Ping;DONG Mengshu(Department of Cardiology,Jingdezhen No.1 People's Hospital in Jiangxi Province,Jingdezhen 333000,China)

机构地区：[1]江西省景德镇市第一人民医院心内科,江西景德镇333000

出　　处：《中国现代医生》2020年第34期159-162,166,共5页China Modern Doctor

摘　　要：目的探讨胸痛中心建立对护理团队在急性ST段抬高型心肌梗死(STEMI)救治中的护理效果。方法以2017年1月我院建立胸痛中心为分界线,选取2017年6月~2019年12月我院收治的急性STEMI患者45例为研究组,2015年1月~2016年12月我院收治的急性STEMI患者45例为对照组。比较两组护理团队的护理质量、护理效果及心血管不良事件。结果研究组护理行为合格率、文书书写合格率、护理操作合格率及护理满意度均高于对照组,两组比较差异有统计学意义(P<0.05)。研究组D2B(进门至球囊)时间、首个心电图完成时间、首次医疗接触(FMC)至球囊扩张(FMC2B)时间及住院时间短于对照组,两组比较差异有统计学意义(P<0.05)。研究组住院期间心血管不良事件(MACE)发生率低于对照组,两组比较差异有统计学意义(P<0.05)。结论胸痛中心建立下的护理团队建设可有效提高护理质量,有利于提高急性STEMI救治效果,改善患者预后。Objective To explore the influence of the establishment of the chest pain center on the nursing effect of nursing team in the treatment of acute ST-segment elevation myocardial infarction(STEMI).Methods With the chest pain center established in our hospital in January 2017 taken as the dividing line,from June 2017 to December 2019,a total of 45 patients with acute STEMI admitted to and treated in our hospital were selected as the study group and from January 2015 to December 2016,a total of 45 patients with acute STEMI admitted to and treated in our hospital were selected as the control group.The quality and effect of nursing and the incidence of major adverse cardiovascular events on patients were compared between the two nursing teams.Results The qualified rates of nursing behavior,document writing and nursing operation and the satisfaction with nursing service in the study group were all higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The D2B(the door-to-balloon)time,the completion time of the first electrocardiogram,the time from the first medical contact(FMC)to balloon(FMC2B)and the hospitalization time of the study group were shorter than those of the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of major adverse cardiovascular events(MACE)in the study group during hospitalization was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion With the establishment of the chest pain center,nursing team building can effectively improve the nursing quality,and help ameliorate the treatment effect on acute STEMI and the prognosis of the patients.

关 键 词：胸痛中心 急性ST段抬高型心肌梗死 护理团队建设 效果 

分 类 号：R541.4[医药卫生—心血管疾病]