危机管理模式在急性冠脉综合征患者临床救治中的应用

Application of crisis management model in clinical treatment of patients with acute coronary syndrome

目的探讨危机管理模式在急性冠脉综合征患者临床救治中的应用。方法2020年1月至2020年6月本院对急性冠脉综合征(Acute coronary syndrome,ACS)患者实施危机管理模式,比较实施前(2019年7月至2019年12年)及实施后急诊护理质量、ACS患者救治效果、护理不良事件及患者满意率。结果实施后ACS患者抢救时间短于实施前(P<0.05),实施后急诊护士危机意识与应对策略、文书书写规范性、病情记录准确性、护士语言规范化及态度恰当、护士职业操作、心理干预能力等方面评分高于实施前(P<0.05)。实施后ACS患者救治成功率、患者满意率高于实施前(P<0.05),而护理不良事件发生率及护患纠纷发生率低于实施前(P<0.05)。结论危机管理模式可提高急诊护士护理服务质量,降低ACS患者护理不良事件,提高患者救治成功率及满意率。

Objective To explore the application of crisis management mode in the clinical treatment of patients with acute coronary syndrome.Methods The emergency management of acute coronary syndrome(ACS)patients was managed using the crisis management model from January 2020 to June 2020.The quality of emergency care,the effectiveness of ACS patients in treatment,nursing adverse events and patient satisfaction rate before implementation(from July 2019 to December 2019)and after implementation were compared.Results The rescue time of ACS patients after implementation was shorter than those before implementation(P<0.05).The emergency nurses’crisis awareness and coping strategies,the standardization of documents,the accuracy of medical records,the standardization and attitude of nurses’language,and the proper operation of nurses after implementation were higher than those before implementation(P<0.05).The success rate and patient satisfaction rate of ACS patients after implementation were higher than those before implementation(P<0.05),while the incidence of adverse nursing events and incidence of nurse-patient disputes after implementation were lower than those before implementation(P<0.05).Conclusion The crisis management model can improve the quality of emergency nurses'nursing services,reduce the adverse nursing events of ACS patients,and improve the success rate and satisfaction rate of patients.