基于改良HEART评分系统的分层护理对急诊胸痛患者抢救效果的影响  

The Impact of Stratified Nursing with Improved HEART Scoring System on the Rescue Effect of Emergency Chest Pain Patients

作　　者：曾海燕 ZENG Haiyan(Department of Outpatient,Luocheng Community Health Service Center in Huian,Quanzhou 362100,China)

机构地区：[1]福建省泉州市惠安螺城社区卫生服务中心门诊部,泉州362100

出　　处：《中国医药指南》2024年第35期185-188,共4页Guide of China Medicine

摘　　要：目的探究在急性胸痛患者抢救治疗过程中开展基于改良HEART评分系统的分层护理的价值。方法选取2023年2月—12月福建省泉州市惠安螺城社区卫生服务中心急诊胸痛患者94例为对象,按照护理模式进行分组,将37例接受常规护理的纳入对照组,47例开展改良HEART评分系统分层护理的纳入观察组。对比两组患者抢救效率(分诊评估时间、急救时间、静脉通道开通时间、首份心电图完成时间和肌钙蛋白检查完成时间)、不良反应发生率、症状改善用时(胸闷气促、心悸缓解及胸痛改善用时)、心肌损伤指标[脑钠肽(BNP)、氨基末端脑钠肽前体(NT-proBNP)及D-二聚体]和抢救成功率。结果观察组分诊评估时间、急救时间、静脉通道开通时间、首份心电图完成时间、肌钙蛋白检查完成时间均短于对照组(P<0.05)。观察组不良反应总发生率为4.26%,低于对照组的19.15%(P<0.05)。观察组胸闷气促改善用时、心悸缓解用时以及胸痛改善用时均短于对照组(P<0.05)。抢救后,观察组BNP、NT-proBNP和D-二聚体水平均低于对照组(P<0.05)。观察组抢救成功率高于对照组(P<0.05)。结论在对急诊胸痛患者进行抢救过程中运用改良HEART评分系统的分层护理,可以提升对急诊胸痛患者的救治效率,缩短患者各环节救治时间,促使患者各症状在短时间内改善,有助于患者恢复。Objective To explore the value of using a modified HEART score-based stratified nursing approach in the emergency treatment of patients with acute chest pain.Methods A total of 94 patients with emergency chest pain from the Hui’an Luocheng Community Health Service Center in Quanzhou City,Fujian Province,from February 2023 to December 2023,were selected as subjects.They were divided into two groups based on the nursing model:37 patients receiving conventional nursing were included in the control group,and 47 patients receiving stratified nursing based on the modified HEART score were included in the observation group.The study compared the emergency rescue efficiency(triage assessment time,emergency treatment time,intravenous access time,first ECG completion time,and troponin test completion time),adverse reaction incidence rate,symptom improvement time(dyspnea,palpitations,and chest pain relief time),myocardial injury indicators[B-type Natriuretic Peptide(BNP),N-terminal Pro-B-type Natriuretic Peptide(NT-proBNP),and D-dimer],and rescue success rate between the two groups.Results The triage assessment time,emergency treatment time,intravenous access time,first ECG completion time,and troponin test completion time in the observation group were all shorter than those in the control group(P<0.05).The overall incidence of adverse reactions in the observation group was 4.26%,lower than the 19.15%in the control group(P<0.05).The time for improvement of dyspnea,palpitations,and chest pain in the observation group was shorter than that in the control group(P<0.05).After rescue,the levels of BNP,NT-proBNP,and D-dimer in the observation group were lower than those in the control group(P<0.05).The rescue success rate in the observation group was higher than that in the control group(P<0.05).Conclusions The use of a modified HEART score-based stratified nursing approach in the rescue of emergency chest pain patients can improve the treatment efficiency of emergency chest pain patients,shorten the time for various treatment

关 键 词：胸痛 改良HEART评分系统 分层护理 抢救效果 

分 类 号：R473.5[医药卫生—护理学]