“胸痛护士”规范化培训在胸痛中心建设中的应用及效果评价

"Chest Pain Nurses" Standardized Training in Construction of Chest Pain Center

目的:评价"胸痛护士"规范化培训在胸痛中心建设中的效果。方法:将2017年7月～2017年12月收治的胸痛(第一诊断)患者纳入对照组,2018年1月～2018年6月收治的胸痛(第一诊断)患者纳入观察组,查阅两组患者首份心电图完成时间、建立静脉通路时间、床旁肌钙出结果时间、诊断为STEMI的患者送入导管室时间,并进行分析。结果:观察组首份心电图时间、建立静脉通道时间、床旁肌钙蛋白出结果时间、STEMI患者送入导管室时间均得到显著下降(P<0.05)。结论:胸痛护士规范化培训整体提高了急诊科胸痛护士分诊及抢救处理胸痛患者的护理能力,在缩短胸痛患者分诊时间、首份心电图时间、床旁肌钙蛋白出结果时间、DTB时间中有举足轻重的作用;对降低高危胸痛患者死亡率、改善临床预后,降低低危胸痛患者漏诊率,普及胸痛知识有重要意义。

Objective: To evaluate the effect of 'chest pain nurses' standardized training in construction of chest pain center. Methods: Patients with chest pain(first diagnosis) who were accepted from July 2017 to December 2017 were included in control group, while those from January 2018 to June 2018 were included in observation group, first ECG completion time, venous access establishment time, bedside muscle calcium result time and entering catheter room time of STEMI patients of both groups were consulted and analyzed. Results: The first ECG completion time, venous access establishment time, bedside muscle calcium result time and entering catheter room time of STEMI patients in observation group were significantly decreased(P<0.05). Conclusion: 'Chest pain nurses' standardized training has overall improved the triage ability of chest pain nurses in emergency room and their nursing competency for rescuing patients with chest pain, which plays a decisive role in shortening triaging time, first ECG time, bedside muscle calcium result time and DTB time, and is of great significance to reduce mortality of high-risk chest pain patients and improve their prognosis, decrease missed diagnosis rate of low-risk chest pain and popularize chest pain knowledge.