县域医共体内乡镇急性胸痛防治体系在胸痛患者转运中的应用研究  

Application of the township acute chest pain prevention and treatment system within the county medical community in the transportation of chest pain patients

作　　者：肖世勇 潘峰 黄巧莉 罗俊 刘敏 冉欢欢 翁发林 XIAO Shiyong;PAN Feng;HUANG Qiaoli;LUO Jun;LIU Min;RAN Huanhuan;WENG Falin(Department of Emergency,Chongqing Wushan County People′s Hospital,Chongqing 404700,China)

机构地区：[1]重庆市巫山县人民医院急救部,重庆404700

出　　处：《现代医药卫生》2023年第13期2203-2205,2210,共4页Journal of Modern Medicine & Health

基　　金：重庆市科卫联合医学科研项目(2021MSXM038)。

摘　　要：目的 探讨县域医共体内乡镇急性胸痛防治体系在胸痛患者转运中的应用效果。方法 选取2020年7月至2021年12月该院收治的100例危重胸痛患者,按照防治体系的不同将其分为研究组(50例)与对照组(50例)。对照组采用常规防治体系,研究组采用县域医共体内乡镇急性胸痛防治体系,比较2组转运不良事件发生率、护理纠纷事件发生率、转运时间及患者与家属满意度。结果 研究组转运不良事件总发生率为6.00%,显著低于对照组的28.00%,差异有统计学意义(P<0.05)。研究组护理纠纷事件发生率为0,显著低于对照组的16.00%,差异有统计学意义(P<0.05)。研究组、对照组转运时间分别为(24.31±6.53)、(29.87±9.03)min,二者比较,差异有统计学意义(P<0.05)。研究组患者与家属总满意度为98.00%,显著高于对照组的76.00%,差异有统计学意义(P<0.05)。结论 县域医共体内乡镇急性胸痛防治体系能有效提高转运期间胸痛患者的转运效率,降低不良事件与护理纠纷的发生率,提高患者及家属满意度。Objective To explore the application effect of the township acute chest pain prevention and treatment system within the county medical community in the transportation of patients with chest pain.Methods A total of 100 critically ill patients with chest pain admitted to the hospital from July 2020 to December 2021 were selected and divided into the study group(50 cases)and the control group(50 cases)according to different prevention and treatment systems.The control group adopted conventional prevention and treatment system,while the study group adopted township acute chest pain prevention and treatment system within the county medical community.The incidence of adverse events during transportation,nursing dispute events,transportation time,and patient and family satisfaction were compared between the two groups.Results The total incidence of adverse events during transportation in the study group was 6.00%,significantly lower than 28.00%of the control group,with statistically significant difference(P<0.05).The incidence of nursing disputes in the research group was 0,significantly lower than 16.00%of the control group,with statistically significant difference(P<0.05).The transport time of the study group and the control group were(24.31±6.53)and(29.87±9.03)min,respectively,and the difference was statistically significant(P<0.05).The total satisfaction rate between patients and their families in the study group was 98.00%,significantly higher than 76.00%of the control group,with statistically significant difference(P<0.05).Conclusion The township acute chest pain prevention and control system within the county medical community can effectively improve the transportation efficiency of chest pain patients during transportation,reduce the incidence of adverse events and nursing disputes,and improve the satisfaction of patient and families.

关 键 词：县域医共体 急性胸痛防治体系 不良事件 护理纠纷 

分 类 号：R655.1[医药卫生—外科学]