优化的入院处理流程在急性心肌梗死患者护理中的应用效果

Application effect of optimized admission process in nursing of patients with acute myocardial infarction

目的探讨优化的入院处理流程在急性心肌梗死患者护理中的应用效果。方法选取江门市人民医院心血管内科收治的急性ST段抬高型心肌梗死(STEMI)患者178例作为研究对象,选取2018年7月至2019年6月收治的108例患者作为对照组,实施常规的入院处理流程;选取2020年7月至2021年6月收治的70例患者作为观察组,实施优化的入院处理流程。比较两组患者的首次医疗接触至完成首份心电图时间、完成首份心电图至确诊时间、急诊经皮冠状动脉介入治疗术(PCI)入门到导丝通过(D-to-W)时间、患者对护理工作的满意度。结果观察组患者的首次医疗接触至完成首份心电图时间、完成首份心电图至确诊时间、PCI的D-to-W时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的护理工作满意度高于对照组,差异有统计学意义(P<0.05)。结论优化的入院处理流程有利于STEMI患者在最佳的时机获得最高效率的救治,同时提高STEMI患者的医疗护理质量。

Objective To discuss application effect of optimized admission process in nursing of patients with acute myocardial infarction.Methods A total of 178 patients with acute ST-segment elevation myocardial infarction(STEMI)admitted to the Department of Cardiology,Jiangmen People′s Hospital were enrolled in this study.A total of 108 patients admitted from July 2018 to June 2019 were selected as the control group,and routine admission processing process was implemented.A total of 70 patients admitted from July 2020 to June 2021 were selected as the observation group,and the optimized admission processing process was implemented.The time from the first medical contact to the completion of the first electrocardiogram,the time from the completion of the first electrocardiogram to the diagnosis,the time of door to wire passage(D-to-W)of percutaneous coronary intervention(PCI),and the satisfaction of patients with nursing work were compared between the two groups.Results The time from the first medical contact to the completion of the first ECG,the time from the completion of the first electrocardiogram to the diagnosis,and the D-to-W time of PCI in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Optimized flow of admission is beneficial for STEMI patients to obtain the most efficient care at the optimal timing while improving the quality of medical care of STEMI patients.