急救通道优化联合多学科协作干预在急性ST段抬高心肌梗死患者救护中的应用效果

Application Effect of Emergency Channel Optimization Combined with Muti-disciplinary Team Intervention in the Rescue of Patients with Acute ST-Segment Elevation Myocardial Infarction

目的探讨急救通道优化联合多学科协作(MDT)干预在急性ST段抬高心肌梗死(STEMI)患者救护中的应用效果。方法收集河南省人民医院2019年3月至2021年3月接收的96例急性STEMI患者作为研究对象,其中48例患者接受急救通道优化联合MDT干预并作为观察组,以1∶1比例匹配48例患者接受传统急救通道干预并作为对照组,统计对比急救反应时间、心电图首次采集时间、抢救总时长、家属抢救效果满意程度以及干预前、转运后家属心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)得分]。结果观察组急救反应时间、心电图首次采集时间、抢救总时长短于对照组(P<0.05);观察组保证性、有形性、反应性、可靠性、移情性高于对照组(P<0.05);转运后两组SAS评分、SDS评分低于干预前,且观察组低于对照组(P<0.05)。结论急救通道优化联合MDT干预应用在急性STEMI患者救护中可缩短急救反应时间、心电图首次采集时间、抢救总时长,提高家属抢救效果满意程度,改善家属不良心理状况。

Objective To investigate the application effect of emergency channel optimization combined with multidisciplinary collaboration(MDT)intervention in the rescue of patients with acute ST-segment elevation myocardial infarction(STEMI).Methods A total of 96 patients with acute STEMI received in Henan Provincial People’s Hospital from March 2019 to March 2021 were collected as the research subjects.Among them,48 patients received emergency passage optimization combined with MDT intervention as the observation group,and 48 patients were matched in a 1∶1 ratio.The traditional emergency channel intervention was used as the control group.The first aid response time,first electrocardiogram acquisition time,total rescue time,family members’satisfaction with the rescue effect and family members’psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]before the intervention and after the transfer were compared.Results The emergency response time,first electrocardiogram acquisition time and total rescue time in the observation group were shorter than those in the control group(P<0.05).The assurance,tangibility,responsiveness,reliability and empathy of the observation group were higher than those of the control group(P<0.05).After transfer,the SAS and SDS scores of the two groups were lower than those before the intervention,and the observation group was lower than the control group(P<0.05).Conclusion The application of emergency channel optimization combined with MDT intervention in the rescue of acute STEMI patients can shorten the emergency response time,first acquisition time of electrocardiogram and total rescue time,improve the family members’satisfaction with the rescue effect,and improve the family members’bad psychological condition.