优化急诊护理流程对急诊胸痛患者抢救效果的影响分析

连玉妹

【摘要】 目的：分析研讨优化急诊护理流程对急诊胸痛患者抢救效果的影响。方法：随机从笔者所在医院2016年3月-2018年2月收治的胸痛患者中抽取80例分组讨论，依据其抢救中护理干预方式分组，其中40例接受常规急诊护理流程干预（对照组），另40例接受优化急诊护理流程干预（研究组），观察比较两组患者抢救效果。结果：研究组不良反应总发生率（7.50%）低于对照组（30.00%），抢救成功率（70.00%）高于对照组（42.50%），差异均有统计学意义（P<0.05）。研究组住院时间、急救时间、分诊时間、急诊停留时间均低于对照组，差异均有统计学意义（P<0.05）。研究组总满意度（85.00%）高于对照组（57.50%），差异有统计学意义（P<0.05）。结论：建议临床抢救急诊胸痛患者时给予优化急诊护理流程干预，可更好地控制不良事件发生可能性，提升抢救成功率，改善护患关系。

【关键词】 抢救; 胸痛; 急诊护理流程; 急诊

doi：10.14033/j.cnki.cfmr.2019.06.034 文献标识码 B 文章编号 1674-6805（2019）06-00-03

Effect of Optimizing Emergency Nursing Process on Rescue Effect of Patients with Chest Pain in Emergency Department/LIAN Yumei.//Chinese and Foreign Medical Research，2019，17（6）：71-73

【Abstract】 Objective：To analyze and discuss the influence of optimizing emergency nursing process on the rescue effect of emergency chest pain patients.Method：A total of 80 patients with chest pain were randomly selected from March 2016 to February 2018.The patients were divided into two groups according to the nursing intervention methods.40 patients received routine emergency nursing intervention （control group） and 40 patients received optimized emergency nursing intervention （study group）.Rescue effect.Result：The total incidence of adverse reactions in the study group was 7.50%，lower than 30.00% in the control group.The success rate of rescue was 70.00%，higher than 42.50% in the control group.The differences were statistically significant （P<0.05）.The hospitalization time，first aid time，triage time and emergency stay time of the study group were lower than those of the control group，and the differences were statistically significant （P<0.05）.The total satisfaction of the study group was 85.00%，higher than 57.50% of the control group，and the difference was statistically significant （P<0.05）.Conclusion：It is suggested that the intervention of nursing process optimization in emergency treatment of patients with chest pain can better control the occurrence of adverse events，enhance the success rate of rescue and improve the relationship between nurses and patients.

【Key words】 Rescue; Chest pain; Emergency nursing process; Emergency

First-authors address：Huian County Hospital，Huian 362199，China

医院急诊科所收治的危重患者最集中且最多，且也为疾谱分布较为广泛的一个科室[1]，护理质量和治疗疗效会直接影响到整体医疗水平。危重症疾病中较为常见的一种则为胸痛，急诊科5%的患者均存在胸痛[2]，多在纵隔肿瘤、肺栓塞、主动脉夹层、急性冠脉综合征等疾病中发生，此类疾病共同特征为致死率高、发病急骤。即正确、快速的诊断疾病原因，并给予有效且及时的处理，对改善疾病预后有利。以往多给予常规急诊护理流程干预，虽有一定效果，但随着人们生活质量提升，对医疗质量的需求也有增高，常规急诊护理流程干预已无法满足其需求。近年来，笔者所在医院将优化急诊护理流程应用于急诊胸痛患者中，抢救成功率得到提升[3]。为此，本研究纳入笔者所在医院2016年3月-2018年2月收治的胸痛患者80例分组重点讨论优化急诊护理流程干预效果。具体报告如下。