七步流程模式联合PERMA模式护理对急诊心绞痛患者急救效率的影响

目的:分析急诊心绞痛患者接受七步流程模式联合PERMA模式护理对急救效率的影响。方法择取本院急诊科收治84例心绞痛患者行分组对照研究(时段2023年1月~2024年1月),数字随机表法均分2组,每组42例。对照组开展常规急诊护理,观察组在此基础上开展七步流程模式联合PERMA模式护理。基于急救效率、情绪状态、疾病不确定感、生活质量、主要不良心血管事件(MACE)评价2组干预效果。结果相比对照组,观察组分诊评估时间、建立心电监护时间、完成心电图时间、构建静脉通路时间、急诊抢救时间显著下降(P<0.05)。2组干预后综合性医院焦虑抑郁量表(HADS)、Mishel疾病不确定感量表(MUIS)均显著下降(P<0.05);观察组相比对照组更低(P<0.05)。2组干预后西雅图心绞痛量表(ASQ)均显著升高(P<0.05);观察组相比对照组更高(P<0.05)。相比对照组,观察组MACE总发生率显著下降(P<0.05)。结论急诊心绞痛患者接受七步流程模式联合PERMA模式护理能明显加快急救效率,减轻负性情绪与疾病不确定感,减少MACE发生,提高生活质量。

Objective To analyze the effect of seven-step process mode combined with PERMA mode on emergency efficiency of angina pectoris patients.Methods:A total of 84 patients with angina pectoris were selected from the emergency department of our hospital from January 2023 to January 2024 and divided into 2 groups with 42 cases in each group by numerical random table method.The control group received routine emergency care,and the observation group received 7-step process mode combined with PERMA mode.The effects of intervention were evaluated based on first aid efficiency,emotional state,disease uncertainty,quality of life,and major adverse cardiovascular events(MACE).Results:Compared with the control group,the time of triage evaluation,ECG monitoring,ECG completion,venous access construction and emergency rescue in the observation group were significantly decreased(P<0.05).After intervention,the general hospital anxiety and depression scale(HADS)and Mishel disease Uncertainty Scale(MUIS)in 2 groups were significantly decreased(P<0.05).It was lower in observation group than control group(P<0.05).After intervention,the Seattle Angina Pectoris scale(ASQ)was significantly increased in both groups(P<0.05).The observation group was higher than the control group(P<0.05).Compared with the control group,the total incidence of MACE in the observation group was significantly decreased(P<0.05).Conclusion:The seven-step process mode combined with PERMA mode can significantly accelerate the emergency efficiency,alleviate the negative emotion and uncertainty,reduce the occurrence of MACE,and improve the quality of life of patients with emergency angina pectoris.