品管圈护理对缩短急性心肌梗死患者急诊滞留时间的应用效果

Application of QCC based nursing in reducing length of time for patients with acute myocardial infarction in emergency department

目的探讨急诊开展品管圈活动对缩短急性心肌梗死患者急诊滞留时间的应用效果。方法收集2014年1月—2014年3月急诊科收治的急性心肌梗死25例患者的临床资料,设为对照组,于2014年4月实施品管圈护理干预,选取2014年4月—2014年6月急性心肌梗死患者27例为观察组,对比2组入院心电检查时间、心内科会诊时间、使用溶栓药物时间、患者入导管室时间。结果观察组入院心电检查时间、心内科会诊时间、使用溶栓药物时间、患者入导管室时间均短于对照组,差异有统计学意义(P<0.01)。结论品管圈应用于临床抢救护理实践中,能够缩短急性心肌梗死患者急诊滞留时间,优化急诊流程。

Objective To investigate the effect of quality control circle （QCC） based nursing of around on reducing length of stay in emergency department patients with myocardial infarction. Methods Clinical data of 25 patients with acute myocardial infarction between Jan 2014 and Mar 2014 （as control group） were retrospectively analyzed. After implementation of QCC based nursing, another 27 patients between April 2014 and Jun 2014 were recruited as observation group. The length of ECG examination, medicine consultation, thrombolytic therapy and door-to-lab were compared be- tween two groups. Results The length of ECG examination, medicine consultation, thrombolytie ther- apy and door-to-lab were lower in observation group than those in controls, with significant differences （ P 〈 0. 01 ）. Conclusion QCC based nursing can shorten length of time and optimaze the medical process of patients with acute myocardial infarction in emergency department.