Application of optimizing emergency triage in emergency nursing for patients with acute chest pain
优化急诊分诊对急性胸痛患者在急诊护理的应用

摘要

目的 以提高急性胸痛患者急诊护理水平为研究目标，在急诊护理中应用优化急诊分诊，明确其对急性胸痛患者的影响。方法 选取2022.05-2024.05急诊收治初步诊断为ST段抬高急性心肌梗死的患者共37组病例。2022.05-2023.05优化急诊分诊前12例作为对照组，2023.05-2024.05优化急诊分诊后25例作为观察组。分析两组急诊后相关不良时间发生情况以及患者入大门时间到急诊首次接触时间、首次接触时间到首次心电图完成时间等抢救情况。结果 不良事件方面，两组相比，组间无显著差异（P＞0.05）。抢救情况方面，两组相比，观察组各项值更低（P<0.05）。结论 在急诊护理中实施优化急诊分诊，能够为急性胸痛患者从筛查到缩短就诊时间，及时得到有效救治，提高抢救效率，这对提高急性胸痛患者在急诊护理水平有着重要意义。

Abstract

Objective To improve the emergency nursing level of patients with acute chest pain, and to apply optimized emergency triage in emergency nursing to clarify its impact on patients with acute chest pain. Method A total of 37 groups of patients diagnosed with ST segment elevation acute myocardial infarction in the emergency department from May 2022 to May 2024 were selected. From May 2022 to May 2023, 12 cases before optimizing emergency triage were used as the control group, and 25 cases after optimizing emergency triage were used as the observation group. Analyze the occurrence of adverse events after emergency treatment in two groups, as well as the rescue situation from the time the patient entered the emergency room to the time of first contact, and from the time of first contact to the completion of the first electrocardiogram. In terms of adverse events, there was no significant difference between the two groups (P>0.05). In terms of rescue situation, the observation group had lower values (P<0.05) compared to the two groups.
Conclusion   Implementing optimized emergency triage in emergency nursing can shorten the screening and treatment time for patients with acute chest pain, provide timely and effective treatment, and improve rescue efficiency. This is of great significance for improving the level of emergency nursing for patients with acute chest pain.