优化护理在急性心肌梗死急诊救治中的应用价值和护理质量分析  

The Application Value of Optimized Nursing in Emergency Treatment of Acute Myocardial Infarction and the Analysis of Nursing Quality

作　　者：张佩玲[1] ZHANG Peiling(Emergency Room,Taixing People's Hospital,Taixing,Jiangsu Province,225400 China)

机构地区：[1]江苏省泰兴市人民医院急诊抢救室,江苏泰兴225400

出　　处：《系统医学》2021年第19期190-193,共4页Systems Medicine

摘　　要：目的探讨急性心肌梗死患者在急诊救治中采用优化护理流程干预的价值及对提高护理质量的作用。方法选择该院2019年1月-2020年6月急诊收治急性心肌梗死并拟行急诊PCI术患者100例,按照随机数表法分为采用常规护理流程对照组(n=50)与采用优化护理流程干预观察组(n=50),对比各项操作完成时间、重要仪器时钟统一正确率及患者护理满意度。结果观察组急诊接诊时间、首份心电图时间、肌钙蛋白时间、D-to-B时间均短分别为(2.20±0.17)、(3.71±1.21)、(20.28±0.75)、(78.43±6.35)min,均短于对照组(3.31±0.95)、(6.94±2.33)、(38.10±2.46)、(151.26±11.56)min,差异有统计学意义(t=8.133、8.699、48.996、39.046,P<0.05)。观察组心电图机、心电监护仪、除颤仪、呼吸机、输液泵、电子时钟统一正确率分别为100.00%、98.00%、100.00%、98.00%、100.00%、98.00%,均高于对照组76.00%、82.00%、84.00%、84.00%、86.00%、82.00%,差异有统计学意义(χ^(2)=13.636、7.111、6.658、4.396、5.530、7.111,P<0.05)。观察组护理满意度为100.00%,高于对照组88.00%,差异有统计学意义(χ^(2)=4.433,P=0.035)。结论对急性心肌梗死患者采用优化护理流程能够提高护理工作效率,保证重要仪器时钟统一,且能够改善患者的护理服务体验,值得推广。Objective To explore the value of optimizing nursing process intervention in emergency treatment for patients with acute myocardial infarction and its effect on improving the quality of care.Methods Selected 100 patients with acute myocardial infarction and planned to undergo emergency PCI in the hospital from January 2019 to June 2020,according to the random number table,they were divided into a control group(n=50)with a routine nursing process and an observation group(n=50)with optimization nursing process intervention,compared the completion time of various operations,the uniform accuracy rate of important instrument clocks,and patient care satisfaction.Results The observation group's emergency reception time,first ECG time,troponin time,and D-to-B time were all short(2.20±0.17),(3.71±1.21),(20.28±0.75),(78.43±6.35)min,all shorter than the control group(3.31±0.95),(6.94±2.33),(38.10±2.46),(151.26±11.56)min,the difference was statistically significant(t=8.133,8.699,48.996,39.046,P<0.05).The unified accuracy rates of electrocardiograph,electrocardiograph,defibrillator,ventilator,infusion pump,and electronic clock in the observation group were 100.00%,98.00%,100.00%,98.00%,100.00%,and 98.00%,respectively,which were higher than those of the control group 76.00%,82.00%,84.00%,84.00%,86.00%,82.00%,the difference was statistically significant(χ^(2)=13.636,7.111,6.658,4.396,5.530,7.111,P<0.05).The nursing satisfaction degree of the observation group was 100.00%,which was higher than 88.00%of the control group,the difference was statistically significant(χ^(2)=4.433,P=0.035).Conclusion Optimizing the nursing process for patients with acute myocardial infarction can improve the efficiency of nursing work,ensure that the clocks of important instruments are unified,and can improve the patient's nursing service experience,which is worthy of promotion.

关 键 词：急性心机梗死 优化护理 急诊救治 胸痛 满意度 

分 类 号：R459.7[医药卫生—急诊医学]