摘要
目的探讨急性冠状动脉(冠脉)综合征(ACS)急救护理流程的优化及对病人预后的影响。方法 2008年3月—2010年3月,我院两院区急诊部收治ACS病人258例。按院区接诊病人进行分组,院区A的病人为常规急诊护理流程组(A组)112例,院区B的病人为优化急诊护理流程组(B组)146例,比较两组抢救进入时间、开始冠脉再灌注治疗时间、发病至开始冠脉再灌注治疗时间、平均住院日、治疗成功率、病人病死率;同时比较两组护理流程缺陷情况、护理质量考核及病人满意度。结果两组病人抢救进入的时间、开始冠脉再灌注治疗时间、发病至开始冠脉再灌注治疗时间、平均住院日比较差异有显著性(t=1.98～3.04,P<0.05);两组护理流程缺陷部分指标、护理质量考核和病人终末护理满意度调查结果比较差异有显著性(χ2=4.51～6.11,Uc=3.21、2.17,P<0.05)。结论优化急诊护理流程能提供一种便捷有效的单病种救治时间窗并改善ACS病人的预后。
Objective To evaluate the influence of optimized emergency care （OEC） on prognosis of patients with acute coronary syndrome （ACS）. Methods In March 2008 March 2010, 258 patients with ACS were admitted to the two branches of our hospital, who were divided into two groups： conventional emergency care （group A, 112 eases） and OEC （group B, 146 cases） based on the branch hospital in which the patients stayed. A comparison was made between the two groups in terms of the time to start rescue, the time-starting of coronary reperfusion, the time between the attack and reperfusion, average hospital stay, therapeutic success rate, and mortality, as well as the shortcomings, quality of nursing and patients＇ satisfaction. Results The differences between the two groups in terms of the above items were significant （t=1. 98-3. 04, P〈0.05） and （X^2= 4.51- 6.11; Uc =3.21,2.17 ;P〈0.05）, respectively. Conclusion Optimized emergency care flow-sheet can provide a shortcut and effective rescue and improve the prognosis of patients with ACS.
出处
《齐鲁医学杂志》
2010年第6期506-508,共3页
Medical Journal of Qilu
关键词
冠状动脉综合征
护理
护理评价研究
预后
coronary syndrome
nursing
nursing evaluation research
prognosis
