优化急救护理流程在胸痛中心急诊经皮冠状动脉介入术中的应用

Application of optimized emergency care process in emergency percutaneous coronary intervention of chest pain center

目的探讨优化急救护理流程在胸痛中心急诊经皮冠状动脉介入术(PCI)中的应用效果。方法将2017年9月至2018年3月我院实施优化急救护理流程后胸痛中心接诊的46例急诊PCI患者作为观察组,将2017年2—8月我院实施优化急救护理流程前胸痛中心接诊的46例急诊PCI患者作为对照组,比较两组患者从急诊至导管室行PCI的时间、入导管室至安全转运至病房时间、住院时间以及围手术期并发症发生情况,随访6个月心脏不良事件发生情况。结果观察组患者急救流程时间和入导管室至安全转运至病房时间均显著低于对照组,差异有统计学意义(P <0. 05),两组住院时间和围术期病死率比较差异无统计学意义(P> 0. 05),观察组随访6个月心脏不良事件总发生率显著低于对照组(P <0. 05)。结论优化急救护理流程能够缩短胸痛中心急诊PCI急救流程时间,提高手术预后效果和护理质量,值得临床推广。

Objective To explore the application effect of optimized emergency care process in emergency percutaneous coronary intervention （PCI） of chest pain center. Methods To compare the time spent of PCI from the emergency to the catheter room, time spent from catheter room to the safe transfer to ward, length of hospitalization and incidence of perioperative complications as well as incidence of adverse cardiac events during 6 months of follow up, 46 cases of emergency PCI patients admitted to the chest pain center after the implementation of optimized emergency nursing process in our hospital from September 2017 to March 2018 were sampled as the study group, and 46 cases of emergency PCI patients admitted to the chest pain center before the implementation of optimized emergency nursing process in our hospital from February to August 2017 were sampled as the control group. Results The time spent in emergency process and that from catheter room to the safe transfer to ward of the study group were significantly less than that of the control group,and the difference was statistically significant （P 〈 0.05 ）. There was no statistical significance in the difference of hospitalization length and perioperative mortality between the two groups（ P 〉 0.05 ）. The total incidence of adverse cardiac events in the study group was significantly lower than that of the control group at 6 months follow - up（P 〈 0.05）. Conclusion Optimized emergency care process could the time spent in emergency progress of emergency PCI in chest pain center, improve the prognosis effect and quality of care ,which was worthy of clinical promotion.