急诊全程优化护理在抢救急性心肌梗死患者中的应用

Process optimization for patients with acute myocardial infarction requiring emergency treatment

目的观察急诊全程优化护理在救治心肌梗死患者中的实施价值,探索规范化急救护理路径。方法对45例急性心肌梗死患者(观察组)采用全程优化的护理即接诊优化、分诊评估优化、救护优化(定时、定人、定位、定责)、转运交接优化、人员配置及监管优化;并与采用常规护理的35例急性心肌梗死患者(对照组)进行急救时间的比较。结果观察组分诊评估时间、心电图时间、静脉采血时间、静脉用药时间及急救总时间显著短于对照组(均P<0.01)。结论优化护理的实施为急性心肌梗死行PCI急诊患者的救治赢得了宝贵的时间。

Objective To investigate the value of process optimization for emergency patients with acute myocardial infarction requiring emergency treatment,and to explore a standardized emergency nursing pathway. Methods Forty-five patients with myocardial infarction were treated as the observation group and received optimized nursing care： such processes were optimized as admission,triage and assessment,rescue（definite time,designated persons,designated location,and designated responsibility）,transfer and handover,personnel allocation,and supervision.Their counterparts（35 cases） were subjected to routine nursing and served as the control group. Results The time of completing triage and assessment,taking electrocardiogram,collecting blood samples,administrating intravenous drugs,and the total rescue time in the observation group were significantly shorter than those in the control group（P0.01 for all）. Conclusion Implement of process optimization in emergency nursing can shorten rescue time of patients with myocardial infarction treated with emergency percutaneous coronary intervention.