[1]陈笑玲.急救护理流程再造在急性心肌梗死急诊介入治疗中的作用观察[J].医学信息,2018,31(23):168-170.[doi:10.3969/j.issn.1006-1959.2018.23.049]
　CHEN Xiao-ling.Effect of Emergency Nursing Process Reengineering on Emergency Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(23):168-170.[doi:10.3969/j.issn.1006-1959.2018.23.049]
点击复制

急救护理流程再造在急性心肌梗死急诊介入治疗中的作用观察()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年23期
页码:
168-170
栏目:
护理研究
出版日期:
2018-12-01

文章信息/Info

Title:
Effect of Emergency Nursing Process Reengineering on Emergency Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction
文章编号:
1006-1959（2018）23-0168-03
作者:
陈笑玲
萍乡市人民医院急诊科，江西 萍乡 337000
Author(s):
CHEN Xiao-ling
Department of Emergency,Pingxiang People's Hospital,Pingxiang 337000,Jiangxi,China
关键词:
急救护理流程再造; 急性心肌梗死; 急诊介入治疗; ECG
Keywords:
Emergency care process reengineering; Acute myocardial infarction; Emergency interventional therapy; ECG
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2018.23.049
文献标志码:
A
摘要:
观察急救护理流程再造在急性心肌梗死急诊介入治疗中的作用。方法 选取我院2017年2月~2018年5月收治的60例急性心肌梗死急诊介入治疗患者，以随机平行方式分为观察组与对照组每组30例。观察组实行急救护理流程再造，对照组实行常规护理流程，对比两组患者的护理满意度、抢救成功率、首次医疗接触时间到心电图（ECG)时间、ECG到激活导管室时间、急诊就诊到球囊扩张时间。结果 观察组护理满意度（93.33%），高于对照组（73.33%），差异有统计学意义（P＜0.05）。观察组首次医疗接触-ECG时间、ECG-激活导管室时间、急诊-球囊扩张时间分别为：（5.11±1.19）min、（22.29±2.62）min、（65.11±9.98）min，高于对照组的（10.37±1.56）min、（46.32±4.84）min、（92.04±5.03）min，差异有统计学的意义（P＜0.05）。结论 急性心肌梗死急诊介入治疗中，实行急救护理流程再造，可提高急性心肌梗死患者的护理满意度和抢救成功率，减少首次医疗接触-ECG、ECG-激活导管室、急诊-球囊扩张的时间。
Abstract:
Objective To observe the effect of emergency nursing process reengineering in emergency interventional treatment of acute myocardial infarction. Methods 60 patients with acute myocardial infarction who received emergency interventional therapy in our hospital from February 2017 to May 2018 were randomly divided into observation group (n=30) and control group (n=30) according to their visiting time. The observation group was given emergency nursing process reengineering, while the control group was given routine nursing process. The nursing satisfaction, rescue success rate, first medical contact to electrocardiogram (ECG) time, electrocardiogram (ECG)to activation catheter room time, emergency to balloon dilatation time were compared between the two groups. Results The nursing satisfaction of the observation group (93.33%) was higher than that of the control group (73.33%),the difference was statistically significant(P<0.05). The first medical contact in the observation group-ECG time, ECG-activated catheter room time, emergency-balloon dilation time were:(5.11±1.19) min,(22.29±2.62) min,(65.11±9.98) min, higher than the control group(10.37±1.56) min,(46.32±4.84) min,(92.04±5.03) min, the difference was statistically significant(P<0.05). Conclusion Emergency interventional therapy for acute myocardial infarction can improve the nursing satisfaction and rescue success rate of patients with acute myocardial infarction, and reduce the time of first medical contact-ECG, ECG-activated catheterization room and emergency-balloon expansion.

参考文献/References:

[1]朱慧,孙春花.流程再造缩短急性心肌梗死介入治疗患者“门-球”时间的效果观察[J].护理实践与研究,2017,14(21):35-37.
[2]陈月治.急性脑梗死患者rt-PA静脉溶栓流程再造后临床护理效果观察[J].中国卫生标准管理,2017,8(7):178-180.
[3]徐莲.急诊流程护理再造在优质护理服务中的应用[J].护理实践与研究,2017,14(18):106-107.
[4]甘仙雯,曾艳.急诊流程再造在提高危重症患者抢救效率中的应用效果[J].实用临床医药杂志,2017,21(10):146-148.
[5]张琳,施雁,朱晓萍.基于业务流程再造理论的急性缺血性脑卒中病人静脉溶栓流程的现况分析[J].护理研究,2017,31(17):2104-2107.
[6]李学技,杜静.流程再造对院内心肺复苏成功率的影响[J].天津护理,2017,25(5):387-389.
[7]张璐,马玉贞.流程再造在PICC专科门诊中应用效果观察[J].中国卫生产业,2017,14(5):113-114.
[8]金梅,张宜生,陈兔红,等.区域协同网络救治STEMI流程再造对患者满意度的影响[J].泰州职业技术学院学报,2016,16(3):70-72.
[9]张祥.对脑卒中急诊急救流程再造的研究[J].心理医生,2016,22(21):234-235.
[10]黄妙纯,郭永宁,蔡海荣,等.急诊流程再造在急性心肌梗死患者中的应用[J].中国中医急症,2017,26(6):1126-1128.

相似文献/References:

[1]郭建华.丹参川芎嗪联合阿托伐他汀钙治疗急性心肌梗死的疗效观察[J].医学信息,2018,31(01):145.[doi:10.3969/j.issn.1006-1959.2018.01.056]
　GUO Jian-hua.Effect of Salvia Miltiorrhiza Tetramethylpyrazine Combined with Atorvastatin Calcium in the Treatment of Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(23):145.[doi:10.3969/j.issn.1006-1959.2018.01.056]
[2]余湘宁,赵献明.ECMO在危重症心脏疾病中的应用研究[J].医学信息,2018,31(04):38.[doi:10.3969/j.issn.1006-1959.2018.04.013]
　YU Xiang-ning,ZHAO Xian-ming.Study on the Application of ECMO in Critical Heart Disease[J].Journal of Medical Information,2018,31(23):38.[doi:10.3969/j.issn.1006-1959.2018.04.013]
[3]何 丽.应激性高血糖与急性心肌梗死的机制研究[J].医学信息,2022,35(10):74.[doi:10.3969/j.issn.1006-1959.2022.10.018]
　HE Li.Mechanism of Stress Hyperglycemia and Acute Myocardial Infarction[J].Journal of Medical Information,2022,35(23):74.[doi:10.3969/j.issn.1006-1959.2022.10.018]
[4]毛红岩,宁国贤.冠脉介入治疗对冠心病急性心肌梗死患者 心肌损伤及心室重塑的影响[J].医学信息,2018,31(12):102.[doi:10.3969/j.issn.1006-1959.2018.12.031]
　MAO Hong-yan,NING Guo-xian.Effects of Coronary Intervention on Myocardial Injury and Ventricular Remodeling in Patients with Coronary Heart Disease and Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(23):102.[doi:10.3969/j.issn.1006-1959.2018.12.031]
[5]雷 锐,李 志.冠状动脉介入及替罗非班治疗老年急性心肌梗死并 心源性休克的疗效分析[J].医学信息,2018,31(14):150.[doi:10.3969/j.issn.1006-1959.2018.14.046]
　LEI Rui,LI Zhi.Effect of Coronary Intervention and Tirofiban on Elderly Patients with Acute Myocardial Infarction and Cardiogenic Shock[J].Journal of Medical Information,2018,31(23):150.[doi:10.3969/j.issn.1006-1959.2018.14.046]
[6]高 鹏,林文华,敬 锐,等.红细胞压积变化对急性ST段抬高型心肌梗死患者临床预后的影响[J].医学信息,2019,32(03):78.[doi:10.3969/j.issn.1006-1959.2019.03.024]
　GAO Peng,LIN Wen-hua,JING Rui,et al.Effect of Hematocrit Changes on Clinical Prognosis in Patients with Acute ST-segment Elevation Myocardial Infarction[J].Journal of Medical Information,2019,32(23):78.[doi:10.3969/j.issn.1006-1959.2019.03.024]
[7]高 珍,刘重斌,张菊英.氧疗对急性心肌梗死患者预后的影响[J].医学信息,2018,31(18):29.[doi:10.3969/j.issn.1006-1959.2018.18.011]
　GAO Zhen,LIU Chong-bin,ZHANG Ju-ying.Effect of Oxygenic Therapy on Prognosis of Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(23):29.[doi:10.3969/j.issn.1006-1959.2018.18.011]
[8]韩 宇,朱丽丽,孙 婷,等.急性心肌梗死患者排便意愿的调查研究[J].医学信息,2018,31(20):111.[doi:10.3969/j.issn.1006-1959.2018.20.033]
　HAN Yu,ZHU Li-li,SUN Ting,et al.Investigation of Defecation Intention in Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(23):111.[doi:10.3969/j.issn.1006-1959.2018.20.033]
[9]马洪俊,王玉平,刘 毅.主动脉内球囊反搏联合介入治疗急性心肌梗死伴心力衰竭的效果[J].医学信息,2022,35(13):136.[doi:10.3969/j.issn.1006-1959.2022.13.032]
　MA Hong-jun,WANG Yu-ping,LIU Yi.Effect of Intra-aortic Balloon Counterpulsation Combined with Interventional Therapy on Acute Myocardial Infarction Complicated with Heart Failure[J].Journal of Medical Information,2022,35(23):136.[doi:10.3969/j.issn.1006-1959.2022.13.032]
[10]杨 震.急性心梗直接介入治疗术中慢血流及无复流的治疗进展[J].医学信息,2019,32(06):56.[doi:10.3969/j.issn.1006-1959.2019.06.19]
　YANG Zhen.Progress in the Treatment of Slow Blood Flow and no Reflow in the Treatment of Acute Myocardial Infarction[J].Journal of Medical Information,2019,32(23):56.[doi:10.3969/j.issn.1006-1959.2019.06.19]

更新日期/Last Update: 2018-12-17