基于评估-沟通-监测-患者-环境模式的护理管理在急诊胸痛患者中的应用效果  

Application Effects of Nursing Management Based on Assessment-Communication-Monitoring-Patient-Environment Model in Emergency Chest Pain Patients

作　　者：任淑芳 张磊[1] 史晓琳 REN Shufang;ZHANG Lei;SHI Xiaolin(Department of Emergency Medicine,Pingdingshan First People’s Hospital,Pingdingshan 467000,China)

机构地区：[1]平顶山市第一人民医院急诊医学科,河南平顶山467000

出　　处：《河南医学研究》2022年第17期3243-3246,共4页Henan Medical Research

摘　　要：目的分析评估-沟通-监测-患者-环境(ACMMM)模式下的护理管理在急诊胸痛患者中的应用效果。方法选取平顶山市第一人民医院2019年12月至2021年3月收治的97例急诊胸痛患者作为研究对象,依照护理干预方案分为两组,对照组(48例)接受常规护理干预,观察组(49例)在常规护理干预基础上接受基于ACMMM模式的护理管理。比较两组治疗情况(急诊停留、抢救、开始治疗及住院时间)、自测健康评定量表(SRHMS)评分、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果与对照组对比,观察组急诊停留、抢救、开始治疗及住院时间均较短(P<0.05)。干预后,两组SRHMS评分均升高,且观察组生理健康、心理健康、社会健康评分均高于对照组(P<0.05)。干预后,两组SDS、SAS评分均降低,且观察组较对照组低(P<0.05)。结论基于ACMMM模式的护理管理应用于急诊胸痛患者,能有效改善患者治疗情况、心理状态。Objective To analyze the effect of nursing management under the model of communication-monitoring-patient-environment(ACMMM)in patients with emergency chest pain.Methods Ninety-seven patients with emergency chest pain in Pingdingshan First People’s Hospital from December 2019 to March 2021 were selected as the research objects.They were divided into two groups according to nursing intervention plans.The control group(48 cases)received routine nursing intervention,and the observation group(49 cases)accepted nursing management under the ACMMM model on the basis of conventional nursing intervention.Treatment status(emergency stay,rescue,start of treatment and length of stay in hospital),self-tested health rating scale(SRHMS)scores and mental status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]were compared between the two groups.Results Compared with the control group,the observation group’s emergency stay,rescue,treatment and hospitalization time were shorter(P<0.05).After the intervention,the SRHMS scores of the two groups increased,and the observation group’s physical health,mental health,and social health scores were higher than the control group(P<0.05).After intervention,SDS and SAS scores of the two groups were decreased,and the observation group was lower than the control group(P<0.05).Conclusion Nursing management under the ACMMM model is applied to patients with emergency chest pain,which can effectively improve the treatment and mental status of patients.

关 键 词：急诊胸痛 评估-沟通-监测-患者-环境模式 护理管理 

分 类 号：R473.5[医药卫生—护理学]