基于分级分区模式的急救护理对急性心肌梗死患者救治时间的影响分析

Analysis of the Effect of Emergency Nursing Based on Hierarchical Partition Mode on the Treatment Time of Patients with Acute Myocardial Infarction

目的探究基于分级分区模式的急救护理对急性心肌梗死(acute myocardial infarction,AMI)患者救治时间的影响。方法回顾性选取2020年1月—2024年1月南京医科大学第四附属医院收治的128例AMI患者的临床资料,按照护理方式的不同分为两组,实施常规急救护理的61例患者为对照组,实施基于分级分区模式急救护理的67例患者为观察组。比较两组患者的救治时间、急性生理评分、舒适度、护理满意度。结果观察组就诊至分诊评估时间、就诊至心电图时间、就诊至给药时间、就诊至术毕时间均短于对照组,差异有统计学意义(P均<0.05)。两组患者接诊时急性生理评分、Kolcaba舒适状况量表评分对比,差异无统计学意义(P均>0.05);观察组收入院时急性生理评分高于对照组,出院时Kolcaba舒适状况量表评分高于对照组,差异有统计学意义(P均<0.05)。观察组护理总满意度为97.01%(65/67),高于对照组的85.25%(52/61),差异有统计学意义(χ^(2)=5.630,P<0.05)。结论在AMI患者中实施以分级分区模式为基础的急救护理可缩短救治时间,减轻临床症状,提高舒适度及护理满意度。

Objective To explore the impact of emergency nursing based on a hierarchical partition mode on the treatment time of patients with acute myocardial infarction(AMI).Methods The clinical data of 128 patients with AMI admitted to the Fourth Affiliated Hospital of Nanjing Medical University from January 2020 to January 2024 were retrospectively selected and divided into two groups according to different nursing methods.61 patients who received routine emergency care were the control group,and 67 patients who received emergency care based on hierarchical partition model were the observation group.The treatment time,acute physiological score,comfort degree and nursing satisfaction were compared between patients in two groups.Results The time from visit to triage assessment,the time from visit to electrocardiogram,the time from visit to medication,and the time from visit to the end of surgery in the observation group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in acute physiological score and Kolcaba Comfort Scale score between patients in two groups(both P>0.05).The acute physiological score of the observation group at admission was higher than that of the control group,and the Kolcaba Comfort Scale score at discharge was higher than that of the control group,the differences were statistically significant(both P<0.05).The total nursing satisfaction of the observation group was 97.01%(65/67),which was higher than 85.25%(52/61)of the control group,and the difference was statistically significant(χ^(2)=5.630,P<0.05).Conclusion Implementing emergency care based on a hierarchical partition mode in AMI patients can shorten treatment time,alleviate clinical symptoms,improve comfort and nursing satisfaction.