分级分区管理模式对急性心肌梗死抢救效果的影响

Influence of hierarchical and partition management model on rescue of acute myocardial infarction

目的探讨分级分区管理模式对急性心肌梗死(AMI)患者抢救成功率的影响。方法 2013年1月至2014年12月选取本院收治的84例AMI患者为研究对象,根据患者入院时间将其分为观察组(2014年1月至2014年12月)及对照组(2013年1月至2013年12月)各42例,对照组实施常规性护理管理,观察组实施分级分区管理模式,对比分析两组抢救成功率及护理效果。结果观察组抢救成功率和家属满意率分别为100.00%和95.24%,显著高于对照组(χ2=7.636、6.222,P<0.05),观察组并发症发生率、护理风险事件、护理纠纷事件发生率分别为2.38%、0.00%和0.00%,显著低于对照组(χ2=7.265、6.461、11.351,P<0.05)。观察组等候时间、抢救时间、症状缓解时间及平均住院时间显著短于对照组(t=9.526、12.252、10.785、5.263,P<0.05)。结论分级分区管理模式能有效缩短AMI患者等候时间及抢救时间,提高患者抢救成功率,降低医疗纠纷,提高患者家属满意度。

Objective To investigate the influence of hierarchical and partition management model on the successful rescue rate in patients with acute myocardial infarction（AMI）. Methods A total of 84 patients with AMI who were treated in our hospital from January 2013 to December 2014 were selected, and were divided into observation group（from January to December, 2014） and control group（from January to December, 2013） according to the date of admission, with 42 patients in each group. The patients in control group received conventional nursing management, and those in the observation group received hierarchical and partition management. The successful rescue rate and nursing effect were analyzed and compared between the two groups. Results The observation group had a successful rescue rate of 100.00% and a family satisfaction rate of 95.24%, significantly higher than those in the control group（χ2=7.636 and 6.222, respectively; both P 0.05）. The incidence rates of complications, nursing risk events, and nursing dispute events in the observation group were 2.38%, 0.00%, and 0.00%, respectively,significantly lower than those in the control group（ χ2=7.265, 6.461, and 11.351, respectively; all P 0.05）. The observation group had significantly shorter waiting time, rescue time, time to symptom relief, and mean hospitalization time than the control group（ t =9.526, 12.252, 10.785, and 5.263, respectively; all P 0.05）.Conclusion The hierarchical and partition management model can effectively shorten the waiting time and rescue time,increase successful rescue rate, reduce medical disputes, and improve the patient＇s and his/her family＇s satisfaction.