加装架钩式心电图推车在胸痛时间管理中的应用效果

Application effect of hook-type electrocardiogram cart in the management of chest pain time

目的探讨加装架钩式心电图推车在胸痛时间管理中的应用效果。方法回顾性分析2019年6~12月我院收治的120例胸痛患者的临床资料,按照心电图推车不同分为两组,对照组(n=60,急救护理中采用普通心电图推车),观察组(n=60,急救护理中采用加装架钩式心电图推车)。比较两组入院后急救时间、住院期间心血管不良事件发生情况及家属满意度。结果观察组首次心电图时间、胸痛原因分析时间、急诊启动时间及住院时间短于对照组,差异有统计学意义(t=32.233、10.068、7.770、12.110,P=0.000);观察组住院期间心血管不良事件总发生率低于对照组,差异有统计学意义(χ2=4.227,P=0.040);观察组家属的护理总满意度高于对照组,差异有统计学意义(χ2=6.171,P=0.013)。结论加装架钩式心电图推车可缩短胸痛患者入院后首次心电图时间、胸痛原因分析时间、急诊启动时间及住院时间,有助于及时对患者诊治,对减轻预后风险有积极意义,并可提高家属满意度,值得临床推广应用。

Objective To investigate the application effect of hook-type electrocardiogram cart in the management of chest pain time.Methods The clinical data of 120 patients with chest pain who were admitted to our hospital from June to December 2019 were retrospectively analyzed.All patients were divided into two groups according to different types of electrocardiogram cart,control group(n=60,ordinary electrocardiogram cart during emergency nursing)and observation group(n=60,hook-type electrocardiogram cart during emergency nursing).The emergency time after admission,the incidence of major adverse cardiovascular events during hospitalization and satisfaction of family members were compared between two groups.Results The first electrocardiogram time,analysis time of chest pain causes,start time of emergency and hospital stays in observation group were shorter than those in control group,and the differences were statistically significant(t=32.233,10.068,7.770,12.110,P=0.000).The total incidence of major adverse cardiovascular events during hospitalization in observation group was lower than that in control group,and the difference was statistically significant(χ2=4.227,P=0.040).The total satisfaction of family members in observation group was higher than that in control group,and the difference was statistically significant(χ2=6.171,P=0.013).Conclusion Hook-type electrocardiogram cart for patients with chest pain can shorten the first electrocardiogram time after admission,analysis time of chest pain causes,start time of emergency and hospital stays,timely provide diagnosis and treatment for the patients,reduce prognostic risks,and improve satisfaction of family members,which is worthy of clinical promotion and application.