急诊胸痛患者的快速准确分诊急救护理流程干预效果观察

Observation on Intervention Effect of Rapid and Accurate Triage Emergency Nursing Process for Emergency Patients with Chest Pain

目的分析、探究快速准确分诊急救护理流程干预在急诊胸痛患者临床治疗中的应用成效。方法选取我院2020年3至2021年3月期间收治的102例急诊胸痛患者为研究对象。根据随机数表法将所有研究对象分为对照组与观察组,为对照组实施常规急救护理流程干预,为观察组实施快速准确分诊急救护理流程干预。对比两组分诊效果;对比两组患者候诊时间;对比两组检查与治疗时间节点指标;对比两组患者对急救护理流程干预满意度。结果观察组分诊分级正确率、正确识别高危胸痛率、应急处理率等均高于对照组(均P<0.05);经对比后发现,观察组患者的候诊时间短于对照组(P<0.05);经对比后发现,两组发病至FMC时间不存在明显统计学差异(P>0.05);观察组的FMC至心电图时间、心电图确诊时间、FMC2B、D2B、总缺血时间等均短于对照组(均P<0.05);经对比后发现,观察组调查表格中护理服务、候诊环境、信息沟通、就诊次序、急救技能满意度等项目得分均高于对照组(均P<0.05)。结论在急诊胸痛患者的急救护理处理中,可应用快速准确分诊急救护理流程对急诊胸痛患者进行分诊处理,此模式将缩短胸痛患者在急救治疗中的分诊消耗时间,方便临床迅速判断患者病情严重程度,可缩短胸痛患者心肌缺血时间,尽快为患者提供全面系统的治疗,提高了患者群体对急救护理工作的满意程度。

Objective To analyze and explore the effect of rapid and accurate triage emergency nursing process intervention in the clinical treatment of emergency patients with chest pain.Methods One hundred and two cases of emergency chest pain in our hospital from March 2020 to March 2021 were selected as the study objects.According to random number table method,all subjects were divided into control group and observation group.The control group was subjected to routine emergency nursing intervention,and the observation group was subjected to rapid and accurate triage emergency nursing intervention.The triage effect of the two groups was compared.The waiting time was compared between the two groups.The time node indexes of examination and treatment were compared between the two groups.The two groups were compared with each other in terms of patients'satisfaction with emergency nursing process intervention.Results The correct rate of triage,correct identification rate of high risk chest pain and emergency treatment rate of observation group were higher than those of control group(P<0.05).After comparison,the waiting time of observation group was shorter than that of control group(P<0.05).After comparison,there was no significant difference in the time from onset to FMC between the two groups(P>0.05).The time from FMC to electrocardiogram,diagnosis time of electrocardiogram,FMC2B,D2B and total ischemia time in observation group were shorter than those in control group(P<0.05).After comparison,it was found that the scores of nursing service,waiting environment,information communication,doctor order,first aid skill satisfaction and other items in the survey table of the observation group were higher than those of the control group(P<0.05).Conclusion In the emergency nursing treatment of emergency patients with chest pain,rapid and accurate triage process can be used to triage emergency patients with chest pain.This mode will shorten the triage consumption time in emergency treatment of chest pain patients,facilitate clinical rapid judgment of the severity of the patient's condition,shorten the myocardial ischemia time of chest pain patients,and provide comprehensive and systematic treatment for patients as soon as possible,and improve the patient group's satisfaction with the emergency care work.