[email protected]

国际护理学研究

International Journal of Nursing Research

您当前位置:首页 > 精选文章

International Journal of Nursing Research. 2024; 6: (3) ; 10.12208/j.ijnr.20240068 .

Analysis of clinical effect of optimizing emergency nursing process intervention in emergency chest pain patients
急诊胸痛病人抢救中采取优化急诊护理流程干预的临床效果分析

作者: 阿丽娅·牙森 *, 古再丽努尔·阿不都卡德尔

喀什地区第一人民医院 新疆喀什

*通讯作者: 阿丽娅·牙森,单位:喀什地区第一人民医院 新疆喀什;

引用本文: 阿丽娅·牙森, 古再丽努尔·阿不都卡德尔 急诊胸痛病人抢救中采取优化急诊护理流程干预的临床效果分析[J]. 国际护理学研究, 2024; 6: (3) : 63-65.
Published: 2024/3/25 16:56:58

摘要

目的 分析急诊胸痛病人抢救中采取优化急诊护理流程干预的临床效果。方法 于我院急诊2022年11月-2023年11月随机选取600例胸痛病人为研究对象,依据双色球法分入两组,即对照组(n=300,应用常规急诊护理)和优化组(n=300,采取优化急诊护理流程干预)。对比两组临床效果。结果 优化组干预后的抢救成功率98.00%,明显高于对照组91.00%,差异具有统计学意义(P<0.05)。优化组干预后的急诊停留(6.51±1.39)min、分诊评估(1.50±0.41)min、住院时间(9.01±2.65)d,明显短于对照组(9.28±2.30)min、(2.63±0.59)min、(13.08±3.12)d,差异具有统计学意义(P<0.05)。结论 急诊抢救胸痛病人时,采取优化急诊护理流程干预,能缩短分诊评估、急诊停留时间,挽救最佳抢救时间。有效提高抢救成功率,并改善预后,缩短住院时间,临床推广价值较高。

关键词: 急诊;胸痛病人;优化急诊护理流程干预;护理效果

Abstract

Objective To analyze the clinical effect of optimizing the emergency nursing flow intervention in emergency chest pain patients.
Methods 600 patients with chest pain were randomly selected in the emergency department of our hospital from November 2022 to November 2023, and were divided into two groups according to the two-color sphere method, namely the control group (n=300, routine emergency nursing) and the optimization group (n=300, optimized emergency nursing process intervention). The clinical effect of the two groups was compared.
Results The rescue success rate of the optimized group was 98.00%, which was significantly higher than that of the control group 91.00%, and the difference was statistically significant (P<0.05). The duration of emergency stay (6.51±1.39)min, triage evaluation (1.50±0.41)min and hospital stay (9.01±2.65)d after intervention in the optimized group was significantly shorter than that in the control group (9.28±2.30)min, (2.63±0.59)min, (13.08±3.12)d. The difference was statistically significant (P<0.05).
Conclusion   When rescuing patients with chest pain in the emergency department, the intervention of optimizing the emergency nursing process can shorten the triage evaluation, emergency stay time and save the best rescue time. It can effectively improve the success rate of rescue, improve the prognosis, shorten the hospital stay, and has high clinical popularization value.

Key words: Emergency; Patients with chest pain; Optimize emergency nursing process intervention; Nursing effect

参考文献 References

[1] 王丹丹,宋莉红,刘海燕,等.基于危急值报告流程的链式护理在急性胸痛患者中的应用及其对急救效率和满意度的影响[J].中国急救复苏与灾害医学杂志,2023,18(5):669-673.

[2] 张利,刘冬梅,李金林.急诊危重度指数在急诊老年胸痛患者就诊分层管理中的应用价值[J].医学临床研究,2023, 15(26):287-289.

[3] 马文丽,张瑜,王丽.优化急诊护理流程联合阶段性护理干预在急性脑梗死患者中的应用效果[J].海军医学杂志, 2023, 27(10):1075-1080.

[4] 刘赛,郭金成,张喜维,等.基于5M1E分析法的现场管理模式在自行来院高危胸痛患者中的应用[J].中华现代护理杂志,2022,28(3):59-60.

[5] 张东旭.CTA胸部三联检查在急诊胸痛患者诊断中的应用分析[J].中国CT和MRI杂志, 2022,20(12):183-184.

[6] 郭瑞,刘学伟,张苗.心脏骤停患者心肺复苏后采用急诊护理干预的临床康复效果及对不良反应的影响价值研究[J].贵州医药,2022,23(002):45-46.

[7] 李丽,金婉婉,梁敏.优化急诊干预流程在肝癌合并消化道出血患者中的应用效果[J].癌症进展,2023,21(4):420-423.

[8] 梁婷,朱敏.优化护理急救流程对冠心病心脏骤停患者急诊心肺脑复苏抢救时间和家属护理工作满意度的影响分析[J].贵州医药,2023,47(10):1646-1647.