可视化分诊流程图联合体位干预在老年急诊胸痛患者中的应用价值

Application value of visual triage flow chart combined with body position intervention in elderly patients with emergency chest pain

目的分析可视化分诊流程图联合体位干预在老年急诊胸痛患者中的应用价值。方法选取2021年7月至2022年7月我院收治的154例老年急诊胸痛患者为研究对象,按照随机数字表法将其分为对照组和研究组,各77例。对照组给予体位干预,研究组在对照组基础上行可视化分诊流程图干预。比较两组的干预效果。结果研究组的急诊停留、急救、分诊评估及住院时间短于对照组(P<0.05)。干预后,研究组的收缩压(SBP)、呼吸频率(RR)及心率(HR)低于对照组(P<0.05)。干预后,研究组的动脉血氧分压(PaO_(2))高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。干预后,研究组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05)。干预后,研究组的西雅图心绞痛量表(SAQ)各维度评分高于对照组(P<0.05)。研究组的护理满意度高于对照组(P<0.05)。结论可视化分诊流程图联合体位干预可有效缩短老年急诊胸痛患者的急救时间,缓解负性情绪,提高生活质量和护理满意度。

Objective To analyze the application value of visual triage flow chart combined with body position intervention in elderly patients with emergency chest pain.Methods A total of 154 elderly patients with emergency chest pain admitted in our hospital from July 2021 to July 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and study group,with 77 cases in each group.The control group was given body position intervention,and the study group was given visual triage flow chart intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The time of emergency stay,first aid,triage evaluation and hospitalization of the study group were shorter than those of the control group(P<0.05).After intervention,systolic blood pressure(SBP),respiratory rate(RR)and heart rate(HR)in the study group were lower than those in the control group(P<0.05).After intervention,the arterial partial pressure of oxygen(PaO_(2))in the study group was higher than that in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the study group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Seattle Angina Questionnaiire(SAQ)in the study group were higher than those in the control group(P<0.05).The nursing satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion The visual triage flow chart combined with body position intervention can effectively shorten the first aid time of elderly patients with emergency chest pain,relieve negative emotions,improve quality of life and nursing satisfaction.