ST段抬高型心肌梗死患者的院前急救护理质量改进效果  

Improvement Effect of Pre-Hospital Emergency Nursing Quality in Patients with ST Segment Elevation Myocardial Infarction

作　　者：魏雅婷 WEI Yating(Department of Emergency,Nanxiang Hospital,Jiading District,Shanghai 201802,China)

机构地区：[1]上海市嘉定区南翔医院急诊科,上海201802

出　　处：《中国医药指南》2024年第28期97-100,共4页Guide of China Medicine

摘　　要：目的探讨ST段抬高型心肌梗死(STEMI)患者的院前急救护理质量改进效果。方法回顾性选择2022年3月至2024年6月医院急诊科接受的STEMI患者80例进行研究,按照院前急救护理模式分为两组,各40例。对照组采取常规院前急救护理,观察组基于质量改进理念实施院前急救护理,比较两组急救不良事件情况、抢救时间、并发症情况及护理满意度。结果观察组急救不良事件发生率5.00%低于对照组22.50%(P<0.05)。观察组现场建立静脉通路时间、护理评估完成时间、院前急救时间、院前-院内交接时间、急诊室停留时间、首次接受治疗时间低于对照组(P<0.05)。观察组并发症发生率5.00%低于对照组25.00%(P<0.05)。观察组护理满意度97.50%高于对照组80.00%(P<0.05)。结论基于质量改进理念实施院前急救护理应用在STEMI患者中可缩短抢救时间,减少急救不良事件的发生,预防相关并发症,提高护理满意度。Objective To explore the improvement effect of pre hospital emergency nursing quality in patients with ST segment elevation myocardial infarction.Methods A retrospective study was conducted on 80 patients with ST segment elevation myocardial infarction admitted to the emergency department of the hospital from March 2022 to June 2024.They were divided into two groups of 40 cases each in chronological order.The control group received routine pre hospital emergency care,while the observation group received pre hospital emergency care based on the concept of quality improvement.The adverse events,rescue time,complications,and nursing satisfaction of the two groups were compared.Results The incidence of emergency adverse events in the observation group was 5.00%lower than that in the control group,which was 22.50%(P<0.05).The observation group had lower on-site venous access time,nursing evaluation completion time,pre hospital emergency response time,pre hospital to in hospital handover time,emergency room stay time,and initial treatment time compared to the control group(P<0.05).The incidence of complications in the observation group was 5.00%lower than that in the control group,which was 25.00%(P<0.05).The nursing satisfaction rate of 97.50%in the observation group was higher than 80.00%in the control group(P<0.05).Conclusions Implementing pre hospital emergency nursing based on the concept of quality improvement in patients with ST segment elevation myocardial infarction can shorten rescue time,reduce the occurrence of adverse events during emergency treatment,prevent related complications,and improve nursing satisfaction.

关 键 词：ST段抬高型心肌梗死 院前急救 质量改进 不良事件 护理满意度 

分 类 号：R542.22[医药卫生—心血管疾病] R473.5[医药卫生—内科学]