急性冠状动脉综合征应急护理的培训研究

Research on emergency nursing care of patients with acute coronary syndrome

[目的]探讨急性冠状动脉综合征应急护理方法。[方法]通过考试和问卷调查形式了解心血管内科和CCU护士(25人)对急性冠状动脉综合征应急护理理论和技术掌握的情况,针对考试和调查情况进行全面培训、反复多次考核,直至熟练掌握。培训后观察其对急性冠状动脉综合征病人应急护理效果,并与培训前对照。[结果]培训前后各项指标比较:理论考试、技术操作考试、护士对急性冠状动脉综合征病人治疗护理所处的状态比较,差异均有统计学意义(P<0.001);培训后抢救病人成功的例数提高,而产生医疗隐患的例数和护理不良事件发生的例数少于培训前。[结论]通过培训提高了护士急性冠状动脉综合征应急护理能力和抢救成功率,减少了医疗纠纷和护理不良事件的发生。

Objective：To probe into emergency nursing method for patients with acute coronary syndrome. Method： The status quo of grasping of first - aid nursing theory and skills of 25 nurses from vasculocardiology deparment and cardiovascular care unit （CCU） were investigated through examination and by filling out questionnaire. All nurses were accepted overall training and examination repeated several times until they were fully grasping based on the status quo of examination and investigation of nurses. Emergency nursing effect of nurses on nursing of patients with acute coronary syndrome were observed af- ter the training. And compared it with that of before the training. Results： Comparisons of all indexes between before and after the training： In terms of theoretical examination, skills manipulation exam, and state of nurses facing treatment and nursing care of patients with acute coronary syndrome, there were statistical significant differences between nurses of before and after their training（P^0.05）. The numbers of patients sucessfully rescueing was gigher after the training than that of before the training. However, both the numbers of produced medical hidden dangers and the numbers of nursing badness event occurrence of nurses after training were less than that of before the training. Conclusion：Through training, the emergency nursing ability of nurses could be enhanced. It can enhance the success rate of rescuing patients. It can decrease medical disputes and the occurrence of nursing badness events.