临床护理路径在急诊绿色通道进行冠状动脉介入治疗中的应用

Application of Clinical Nursing Pathway in Coronary Artery Intervention in Emergency Green Channel

目的探讨临床护理路径在急诊绿色通道进行经皮冠状动脉介入(PCI)治疗中的应用效果。方法选取我院2016年1月至2017年12月期间收治的60例在急诊绿色通道进行PCI治疗的患者,随机分为试验组(30例,开展临床护理路径)和对照组(30例,开展常规护理干预),比较两组患者的进门-球囊扩张(D-to-B)时间、住院时间、院内再次实施介入术率以及术后并发症发生率。结果试验组患者的D-to-B时间为(79.10±12.09) min、住院时间为(10.28±3.07) d,均显著短于对照组的(92.31±13.88) min、(12.29±3.00) d (P <0.05)。试验组患者的院内再次实施介入术率为13.3%,显著低于对照组的33.3%(P <0.05)。试验组患者的术后并发症发生率为3.3%,显著低于对照组的20.0%(P <0.05)。结论对急诊绿色通道进行PCI治疗的患者实施临床护理路径可取得良好的急救效果,不仅可缩短治疗时间和住院时间,也可降低并发症发生率。

Objective To explore the application effect of clinical nursing pathway in percutaneous coronary intervention （PCI） in emergency green channel. Methods 60 cases of patients with PCI in the emergency green channel in our hospital from January 2016 to December 2017 were selected and randomly divided into two groups equally. The control group received routine nursing intervention, while the experimental group received clinical nursing pathway. The door-to-balloon dilation （D-to-B） time, length of hospital stay, rate of re-implementation of intervention in the hospital, and incidence of postoperative complications were compared between the two groups. Results The D-to-B time of the experimental group was （79.10 ± 12.09） minutes and the length of hospital stay was （10.28 ± 3.07） days, significantly shorter than （92.31 ± 13.88） minutes and （12.29 ± 3.00） days of the control group, respectively （P 〈0.05）. The rate of re-implementation of intervention in the hospital of the experimental group was 13.3 %, significantly lower than 33.3 % of the control group （P 〈0.05）. The incidence of postoperative complications of the experimental group was 3.3%, significantly lower than 20.0% of the control group （P 〈0.05）. Conclusions The application of clinical nursing pathway in patients with PCI in emergency green channel can achieve good emergency effect, which can shorten the treatment time and length of hospital stay, and reduce the incidence of complications.