降阶梯思维结合SBAR的急救-病房转接模式对急性心肌梗死患者的护理效果

Nursing effect of descending step thinking combined with SBAR emergency and ward transfer mode on patients with acute myocardial infarction

目的探讨降阶梯思维结合SBAR的急救-病房转接模式对急性心肌梗死患者的护理效果。方法选取2016年4月至2018年9月大连市第三人民医院收治的86例急性心肌梗死患者的临床资料进行回顾性分析,按照不同急救方案分为对照组(43例)与研究组(43例)。对照组患者采取SBAR方案,研究组患者采取SBAR与降阶梯思维共同干预。比较两组患者的急救成功率、住院期死亡率、复发率、溶栓时间、抢救时间和住院时间以及交接质量。结果观察组患者的急救成功率高于对照组,而住院期死亡率及复发率低于研究组,差异有统计学意义(P<0.05);观察组患者的溶栓时间、抢救时间和住院时间均短于研究组,差异有统计学意义(P<0.05);观察组的交接时间短于对照组,交接问题发生率低于对照组,差异有统计学意义(P<0.05)。结论对急性心肌梗死患者予以SBAR与降阶梯思维共同干预能够缩短住院时间,加快病情恢复,同时能提高护理人员评判性思维能力,缩短交接时间,提高护理人员交接质量、评判性思维能力。

Objective To explore the nursing effect of descending step thinking combined with SBAR emergency and ward transfer mode on patients with acute myocardial infarction.Methods The clinical data of 86 patients with acute myocardial infarction admitted to Dalian Third People′s Hospital from April 2016 to September 2018 were retrospectively analyzed.According to different emergency schemes,they were divided into the control group(43 cases)and the study group(43 cases).The patients in the control group were given SBAR scheme,and the patients in the study group were given SBAR and descending step thinking.The success rate of emergency,hospitalization mortality,the recurrence rate,thrombolysis time,rescue time,hospitalization time and handover quality were compared between the two groups.Results The success rate of emergency in the study group was higher than that in the control group,and hospitalization mortality and the recurrence rate in the study group were lower than those in the study group,the differences were statistically significant(P<0.05).The thrombolysis time,rescue time and hospitalization time in the study group were shorter than those in the study group,the differences were statistically significant(P<0.05).The handover time in the study group was shorter than that in the control group,the incidence of handover problems in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The joint intervention of SBAR and descending step thinking in patients with acute myocardial infarction can shorten the hospitalization time,accelerate the recovery of the disease,improve the critical thinking ability of nurses,shorten the handover time,and improve the handover quality and critical thinking ability of nurses.