优化胸痛中心护理质量管理项目对急性ST段抬高型心肌梗死患者救治质量的效果分析  

Analysis of the effect of optimizing the nursing quality management project of chest pain center on the treatment quality of patients with acute ST segment elevation myocardial infarction

作　　者：陈仪 宗卫华[1] 赖晓凤[1] 赵焕佳[1] 梁金好 冷伊 Chen Yi;Zong Weihua;Lai Xiaofeng;Zhao Huanjia;Liang Jinhao;Leng Yi(Cardiovascular Center,the Second People's Hospital of Zhaoqing City,Guangdong Zhaoqing 526060)

机构地区：[1]肇庆市第二人民医院心血管中心,广东肇庆526060

出　　处：《中国社区医师》2021年第18期145-146,共2页Chinese Community Doctors

摘　　要：目的:探讨在急性ST段抬高型心肌梗死患者中实施优化后的护理质量管理项目对提高患者救治质量的效果。方法:2017年6月-2020年6月收治急性ST段抬高型心肌梗死患者100例,随机分为两组,各50例。对照组给予常规护理质量管理;试验组给予优化后的护理质量管理。比较两组治疗相关指标及护理服务满意度情况。结果:试验组心肌损伤标志物报告所需时间与从患者进入医院大门至球囊扩张时间(D2B所需时间)均显著低于对照组,差异有统计学意义(P<0.05);试验组护理服务有效性、护理服务即时性、护理人员工作态度与护理人员护理水平评分均显著高于对照组,差异有统计学意义(P<0.05)。结论:在急性ST段抬高型心肌梗死患者护理中,通过优化护理质量管理项目,不仅能有效缩短患者心肌损伤标志物报告所需时间与D2B所需时间,提高救治质量,还能提高患者对于护理服务的满意度。Objective:To explore the effect of implementing optimized nursing quality management items in patients with acute ST-segment elevation myocardial infarction on improving the quality of treatment.Methods:From June 2017 to June 2020,100 patients with acute ST-segment elevation myocardial infarction were selected,they were randomly divided into the two groups with 50 cases in each group.The control group was given routine care quality management.The experimental group was given optimized care quality management.We compared the treatment-related indicators and nursing service satisfaction between the two groups.Results:The time required to report myocardial injury markers and the time required for D2B in the experimental group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The effectiveness of nursing service,the immediacy of nursing service,the work attitude of nursing staff and the nursing level score of nursing staff in the experimental group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:In the nursing of patients with acute ST-segment elevation myocardial infarction,by optimizing the quality of care management items,not only can the time required for the patients'myocardial injury marker report and the time required for D2B be effectively shortened,the quality of treatment can be improved,and the patient can be improved satisfaction with nursing services.

关 键 词：ST段抬高 心肌梗死 救治质量 护理质量管理 胸痛中心 

分 类 号：R473.5[医药卫生—护理学]