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急诊胸痛患者采用快速准确分诊急救流程的效果分析

Analysis of the Effectiveness of Rapid and Accurate Triage and Emergency Procedures for Acute Chest Pain Patients
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摘要 目的探索快速准确分诊急救流程在急诊胸痛患者抢救中的应用价值。方法选取2021年7月至2023年7月福建中医药大学附属第三人民医院收治的100例急诊胸痛患者,根据急救流程的不同,分为研究组(快速准确分诊急救流程)和对照组(常规急救流程),每组各50例。比较两组患者分诊效果、候诊时间、检查与治疗时间节点。结果研究组患者的分诊正确率(98.00%)、正确识别高危胸痛率(96.00%)、应急处理率(64.00%),均显著高于对照组的分诊正确率(80.00%)、正确识别高危胸痛率(62.00%)、应急处理率为(38.00%),差异有统计学意义(P<0.05)。研究组患者的候诊时间显著短于对照组的候诊时间(P<0.001)。研究组患者对护理服务、候诊环境、信息沟通、就诊次序、急救技能的满意度评分均显著高于对照组(P<0.05)。结论将快速准确分诊急救流程应用于急诊胸痛患者的救治过程中,可有效改善分诊效果,缩短候诊消耗时间和心肌缺血时间,提高了患者和家属的满意度。 Objective To explore the application value of rapid and accurate triage emergency process in the rescue of emergency chest pain patients.Methods 100 emergency chest pain patients admitted to the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2021 to July 2023 were selected.According to different emergency processes,they were divided into the study group(rapid and accurate triage emergency process)and the control group(conventional emergency process),with 50 cases in each group.The triage effect,waiting time,and time points of examination and treatment of the two groups were compared.Results The triage accuracy rate(98.00%),correct identification of high-risk chest pain rate(96.00%),and emergency handling rate(64.00%)of the study group were significantly higher than those of the control group,with the triage accuracy rate(80.00%),correct identification of high-risk chest pain rate(62.00%),and emergency handling rate(38.00%),and the differences were statistically significant(P<0.05).The waiting time of the study group was significantly shorter than that of the control group(P<0.001).The satisfaction scores of nursing services,waiting environment,information communication,order of visits,and emergency skills of the study group were significantly higher than those of the control group(P<0.05).Conclusion The application of rapid and accurate triage emergency process in the rescue process of emergency chest pain patients can effectively improve the triage effect,reduce waiting time and myocardial ischemia time,and increase the satisfaction of patients and their families.
作者 杨华盛 路国锋 张润 林辰 YANG Huasheng;LU Guofeng;ZHANG Run;LIN Chen(Affiliated Third People's Hospital of Fujian University of Traditional Chinese Medicine,Emergency Department,Fuzhou 350100,China)
出处 《中华灾害救援医学》 2024年第6期628-630,共3页 Chinese Journal of Disaster Medicine
关键词 胸痛 急诊处理 诊断 chest pain dmergency treatment diagnosis
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