Non-invasive emergency care pathway for chest pain based on HIRAID framework
基于HIRAID框架的非创伤性胸痛急诊护理路径

摘要

目的 分析基于HIRAID框架的非创伤性胸痛急诊护理路径的方法及临床效果。方法 此次研究对象为本院2024年6月-2025年6月收治的86例非创伤性胸痛患者为研究对象，以随机数字表法分为观察组和对照组，各43例。对照组采取常规护理，观察组行循证护理法，检索国内外权威指南、高质量文献及专家共识，综合非创伤性胸痛诊疗规范构建标准化护理路径并落实。对两组急诊处置效率及并发症发生率进行比较。结果 相比较常规组，实验组护理依从性显高（P<0.05）；并发症总发生率显低（P<0.05）；护理满意度显高（P<0.05）。结论 基于HIRAID框架的非创伤性胸痛急诊护理路径，能够规范护理流程，提升急诊处置效率，降低并发症发生率，值得临床推广应用。

Abstract

Objective To analyze the methods and clinical effects of the non-invasive emergency care pathway for chest pain based on the HIRAID framework.
Methods The research subjects were 86 patients with non-traumatic chest pain admitted to our hospital from June 2024 to June 2025. They were divided into the observation group and the control group by random number table method, with 43 cases in each group. The control group received routine care, while the observation group received evidence-based nursing. The authoritative guidelines, high-quality literature, and expert consensus at home and abroad were searched, and the standardized nursing pathway for non-traumatic chest pain was constructed and implemented. The emergency treatment efficiency and complication incidence of the two groups were compared.
Results Compared with the control group, the nursing compliance of the experimental group was significantly higher (P<0.05); the total incidence of complications was significantly lower (P<0.05); and the nursing satisfaction was significantly higher (P<0.05).
Conclusion   The non-invasive emergency care pathway for chest pain based on the HIRAID framework can standardize the nursing process, improve the emergency treatment efficiency, and reduce the incidence of complications, and is worthy of clinical promotion and application.