优化急诊护理流程对抢救急性ST段抬高型心肌梗死患者的急救效果

First-aid Effect of Optimizing the Emergency Nursing Process on the Rescue of Patients with Acute ST-segment Elevation Myocardial Infarction

目的探讨优化急诊护理流程对抢救急性ST段抬高型心肌梗死(STEMI)患者的急救效果。方法以急诊护理流程优化前(2018年1~12月)收治的60例患者(A组)和急诊护理流程优化后(2019年1~12月)收治的60例患者(B组)作为研究对象,比较两组患者急救效率、急救成功率、家属满意度及优化前后医护人员STEMI急救知识考核评分。结果B组患者急诊科大门到挂号时间、首次医嘱时间、急诊停留时间、患者到达急诊科大门至球囊扩张(D2B)时间均明显短于A组,对比差异有统计学意义(P<0.05)。B组患者急救成功率为96.67%,明显高于A组的83.33%,B组家属满意度为98.33%,也明显高于A组的85.00%,对比差异均有统计学意义(P<0.05)。急诊护理流程优化后医护人员STEMI急救知识考核评分明显高于优化前,对比差异有统计学意义(P<0.05)。结论优化急诊护理流程有利于提升医护人员的急诊护理水平,提升STEMI急救效率和急救成功率。

Objective To study the first-aid effect of optimizing the emergency nursing process on the rescue of patients with acute ST-segment elevation myocardial infarction(STEMI).Methods Emergency nursing process optimization(January to December 2018)before the 60 cases of patients(group A)and after the emergency care process optimization(January 2019 to December)of 60 cases of patients(group B)as the research object,compared two groups of patients with emergency treatment efficiency and success rate of first-aid,family satisfaction and optimize medical staff before and after STEMI first-aid knowledge examination score.Results The time from the emergency department gate to registration,the time of the first doctor's order,the time of emergency stay,and the time of D2B in group B were significantly shorter than those in group A(P<0.05).Group B patients with emergency treatment success rate was 96.67%higher than 83.33%of the group A and group B family satisfaction rate of 98.33%,85.00%contrast difference were also significantly higher than group A with statistical significance(P<0.05).After the emergency care process optimization paramedics STEMI first-aid knowledge examination score significantly higher than the contrast optimize differences statistically significant(P<0.05).Conclusion Optimizing the emergency nursing process is beneficial to improve the emergency nursing level of medical staff,improve the STEMI first-aid efficiency and the success rate of first-aid.