标准化分诊流程在急性胸痛患者抢救中的应用效果

Application effects of standardized triage process in rescue of patients with acute chest pain

目的:观察标准化分诊流程在急性胸痛患者抢救中的应用效果。方法:选取2015年7月至2016年11月该院收治的250例急性胸痛患者纳入对照组(实施传统分诊流程),另取2016年12月至2017年6月该院收治的250例急性胸痛患者纳入观察组(实施标准化分诊流程)。比较两组抢救效率(分诊评估时间、抢救时间、首份心电图报告时间、首份心肌损伤标志物报告时间)、住院时间、心脏不良事件发生率和满意度。结果:观察组分诊评估时间、抢救时间、首份心电图报告时间、首份心肌损伤标志物报告时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组心脏不良事件发生率为6.40%(16/250),低于对照组的12.80%(32/250),差异有统计学意义(P<0.05);观察组满意度为96.40%(241/250),高于对照组的91.20%(228/250),差异有统计学意义(P<0.05)。结论:标准化分诊流程可提高急性胸痛患者抢救效率和满意度,缩短住院时间,以及降低心脏不良事件发生率,效果优于传统分诊流程。

Objective:To observe application effects of standardized triage process in rescue of patients with acute chest pain.Methods:250 patients with acute chest pain admitted to this hospital from July 2015 to November 2016 were enrolled in control group(implement traditional triage process).Another 250 patients with acute chest pain admitted to the hospital from December 2016 to June 2017 were included in observation group(implement standardized triage process).The rescue efficiency(triage evaluation time,rescue time,first ECG report time,first myocardial injury marker report time),the hospitalization time,the incidence of adverse cardiac events,and the patient satisfaction were compared between the two groups.Results:The evaluation time,the rescue time,the first ECG report time,the first myocardial injury marker report time and the hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The observation group had lower incidence of adverse cardiac events as 6.40%(16/250)than 12.80%(32/250)in the control group,and the difference was statistically significant(P<0.05).Further,the satisfaction of patients in the observation group was 96.40%(241/250),which was higher than 91.20%(228/250)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The standardized triage process can improve the rescue efficiency and the patient satisfaction of the patients with acute chest pain,shorten the hospitalization time,and reduce the incidence of adverse cardiac events.Moreover,it is superior to the traditional triage process.