时间轴管理法在急性心肌梗死患者救护中的应用  

Application of time axis management method in the rescue of patients with acute myocardial infarction

作　　者：罗艳 杨凡 郑美林[2] 华展轩 LUO Yan;YANG Fan;ZHENG Meilin;HUA Zhanxuan(Emergency Department,Jiujiang Medical Emergency Center,Jiujiang 332000,China;Statistics Teaching and Research Office,School of Science,Jiujiang University,Jiujiang 332000,China;Preventive Medicine Department,Jiujiang University,Jiujiang 332000,China)

机构地区：[1]九江市医疗急救中心,江西九江332000 [2]九江学院理学院统计学教研室,江西九江332000 [3]九江学院,江西九江332000

出　　处：《现代医院》2025年第2期227-229,233,共4页Modern Hospitals

摘　　要：目的探讨时间轴管理法在急性心肌梗死(AMI)患者救护中的应用。方法将2022年6月—2022年12月急诊科收治的60例AMI患者设为对照组,将2023年1月—2023年6月急诊科收治的62名AMI患者设为观察组,对照组行急诊常规救治模式,观察组实施时间轴管理法,比较两组患者救治时间、救治效率及患者对救治的满意率。结果观察组反应时间、住院时间、分诊时间、辅助检查时间、急诊等待时间短,观察组抢救成功率高于对照组(P<0.05),观察组在120车速、急诊分诊流程、辅助检查速度、挂号费安排、就诊安排、候诊环境管理、护理服务态度等方面的满意度均高于对照组(P<0.05)。结论时间轴管理法能有效缩短AMI患者救治时间,可提高患者救治效率及救治满意率。Objective To explore the effect of time axis management method on emergency care of patients with acute myocardial infarction(AMI).Methods A total of 60 AMI patients admitted to the emergency department from June to December 2022 were assigned to the control group,whereas 62 AMI patients admitted from January to June 2023 were set as the observation group.The control group received routine emergency treatment,while the observation group received time-axis management intervention.The two groups were compared in terms of treatment timelines,clinical efficiency,and patient satisfaction rates.Results The observation group demonstrated significantly shorter time metrics compared to the control group(P<0.05),including ambulance response time,hospitalization duration,triage time,diagnostic testing time,and emergency waiting time.The observation group also showed higher rescue success rates(P<0.05).Additionally,the observation group exhibited significantly higher satisfaction rates with ambulance response time,emergency triage flowchart,auxiliary examination duration,registration fee charging,medical treatment scheduling,waiting environment,and nursing service quality(all P<0.05).Conclusion The time axis management method can effectively shorten rescue time for AMI patients,enhance rescue efficiency,and improves patient satisfaction.

关 键 词：时间轴管理法 急性心肌梗死 救治时间 救治效率 满意率 

分 类 号：R542.2[医药卫生—心血管疾病]