The impact of optimizing nursing procedures on the rescue effectiveness of emergency chest pain patients
优化护理流程对急诊胸痛患者抢救效果的影响

摘要

目的 观察优化护理流程应用于急诊胸痛患者的抢救中是否有积极的意义以及能否改善患者的预后情况。方法 从2022年1月到2023年12月本院急诊科就诊的126例胸痛患者中随机抽取其中的126例，以时间为标准分成对照组（63人，2022年1-12月）与观察组（63人，2023年1-12月）。对照组使用的是传统的急诊护理流程，而观察组则是采取了优化护理流程的方法，其中包括建立胸痛快速识别系统、改进分诊评估流程、落实多学科协作机制等等。对比两组患者的首次接诊到完成心电图的时间差、确诊时间间隔、介入治疗时间长短以及住院期间发生的不良心血管事件的发生概率等等。结果 观察组各项时间指标明显少于对照组，不良心血管事件发生率大幅度下降，差异有统计学意义（P＜0.05）。结论 优化护理流程能有效加快急诊胸痛患者救治进程，提高诊疗质量，有助于患者恢复健康，可在临床上推广应用。

Abstract

Objective To observe whether optimizing the nursing process has positive significance in the rescue of emergency chest pain patients and whether it can improve the prognosis of patients.
Methods From January 2022 to December 2023, 126 chest pain patients who visited the emergency department of our hospital were randomly selected and divided into the control group (63 people, from January to December 2022) and the observation group (63 people, from January to December 2023). The control group used the traditional emergency nursing process, while the observation group adopted the optimized nursing process, including establishing a rapid chest pain identification system, improving the triage assessment process, and implementing a multidisciplinary collaboration mechanism, etc. The time difference from the first reception to the completion of electrocardiogram, the interval from diagnosis, the duration of interventional treatment, and the probability of adverse cardiovascular events during hospitalization were compared between the two groups.
Results The time indicators of the observation group were significantly less than those of the control group, and the incidence of adverse cardiovascular events decreased significantly, with statistically significant differences (P < 0.05).
Conclusion   Optimizing the nursing process can effectively accelerate the rescue process of emergency chest pain patients, improve the quality of diagnosis and treatment, and help patients recover health. It can be applied in clinical practice.