急诊护理流程优化对急性冠脉综合征患者急救质量及预后的影响

The effect of emergency nursing process optimization on the quality and prognosis of acute coronary syndrome patients

目的:探讨急诊护理流程优化对急性冠脉综合征患者急救质量及预后的影响。方法:选取2017年1~5月在聊城市第二人民医院进行急性冠状动脉综合征(ACS)治疗的患者70例作为常规组,另选取2018年7~11月在该院进行ACS治疗的患者70例作为优化组。常规组患者实施常规急诊护理流程,优化组患者实施急诊护理优化流程。比较两组患者确诊时间及接受相应治疗时间、患者肌酸激酶同工酶(CK-MB)及高敏心肌肌钙蛋白(hs-cTn)T等生命指标,患者治疗1个月后生活质量及患者家属对其急诊护理流程的满意率。结果:优化组患者确诊时间及接受相应治疗时间分别为(17.53±1.87)min及(24.19±5.03)min,均显著优于常规组,优化组患者CK-MB及hs-cTnT分别为(14.81±2.43)U/L及(6.27±0.92)mg/L,且其左室射血分数(LVEF)及左室舒张末期内径(LVEDD)分别为(59.54±6.31)%及(67.87±8.19)mm,均显著优于常规组;优化组患者治疗1个月后,其生理功能、生理职能等各项活质量评分均显著优于常规组;优化组患者对急救护理流程满意率为100%,显著高于常规组的88.57%,差异均有统计学意义(均 P<0.05)。 结论:优化急诊护理流程能够有效提高ACS患者的急救质量及治疗后的生活质量,改善患者预后,且该护理流程模式得到患者家属的认可,可行性较高。

Objective To explore the effect of emergency nursing procedure optimization on the quality and prognosis of patients with acute coronary syndrome.Methods Totally 70 patients with acute coronary artery syndrome (ACS) in the Second People's Hospital of Liaocheng City, Shandong Province from December to May 2017 were selected as the routine group, and 70 patients with ACS in the hospital from July to November 2018 were selected as the optimized group.The patients in the conventional group were given the routine emergency nursing process, and the patients in the optimized group were given the optimized emergency nursing process.By comparing the time of diagnosis and treatment of the two groups, as well as the life indicators such as creatine kinase isoenzyme(CK-MB)and hypersensitive cardiac troponin(hs-cTnT), the quality of life of the patients after 1 month of treatment and the satisfaction rate of the patients' family members to their emergency care process were compared.Results The time of diagnosis and the corresponding treatment time of the optimized group were(17.53±1.87) minutes and(24.19±5.03) minutes respectively, which were significantly better than the those of the conventional group(P<0.05). The CK-MB and hs-cTnT of the optimized group were (14.81±2.43)U/L and(6.27±0.92)mg/L respectively, and their LVEF and LVEDD were(59.54±6.31)% and(67.87±8.19)mm respectively, which were significantly better than those of the conventional group.At the same time, after 1 month of treatment, the quality of the physiological function and physiological function of the optimized group were significantly better than those of the conventional group.In addition, the satisfaction rate of the emergency care process in the optimized group was 100%, which was significantly higher than the conventional group of 88.57%, and the differences were statistically significant (P<0.05).Conclusions Optimizing the emergency nursing process can effectively improve the quality of first aid and post-treatment life of ACS patients, and improve the prognosis of patients. Moreover, this nursing process model has been recognized by the patients' families and is highly feasible.