[1]朱 博.急诊护理风险管理在急性胸痛患者抢救中的应用效果[J].医学信息,2022,35(18):180-182.[doi:10.3969/j.issn.1006-1959.2022.18.050]
 ZHU Bo.Application Effect of Emergency Nursing Risk Management in Rescuing Patients with Acute Chest Pain[J].Journal of Medical Information,2022,35(18):180-182.[doi:10.3969/j.issn.1006-1959.2022.18.050]
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急诊护理风险管理在急性胸痛患者抢救中的应用效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年18期
页码:
180-182
栏目:
护理研究
出版日期:
2022-09-15

文章信息/Info

Title:
Application Effect of Emergency Nursing Risk Management in Rescuing Patients with Acute Chest Pain
文章编号:
1006-1959(2022)18-0180-03
作者:
朱 博
(盘锦辽油宝石花医院急诊科,辽宁 盘锦 124010)
Author(s):
ZHU Bo
(Department of Emergency,Panjin Liaoyou Baobaohua Hospital,Panjin 124010,Liaoning,China)
关键词:
急性胸痛急诊护理风险管理不良心血管事件
Keywords:
Acute chest painEmergency nursingRisk managementMajor adverse cardiovascular events
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.18.050
文献标志码:
A
摘要:
目的 分析急诊护理风险管理在急性胸痛患者抢救中的应用效果。方法 选取2020年2月-2021年2月我院急诊科收治的80例急性胸痛患者作为观察组,另以2019年1月-2020年1月收治的80例急性胸痛患者为对照组,观察组实施急诊护理风险管理,对照组实施常规急诊护理管理。比较两组抢救时间、抢救效果、不良心血管事件(MACE)发生率、护理满意度及护理缺陷率。结果 观察组急诊交接时间、评估时间、心电图完成时间、急诊室停留时间以及开始治疗时间短于对照组(P<0.05);观察组抢救成功率高于对照组,急诊PCI手术率低于对照组(P<0.05);两组30 d死亡率比较,差异无统计学意义(P>0.05);观察组MACE发生率为10.52%,低于对照组的23.68%(P<0.05);观察组基础护理操作、风险评估、护理执行规范、应急能力评分及总分高于对照组(P<0.05);观察组护理缺陷率为3.75%,低于对照组的12.50%(P<0.05)。结论 急诊护理风险管理可有效缩短急性胸痛患者的抢救时间,提升抢救成功率,降低PCI手术率、死亡率、MACE发生率以及护理缺陷率,临床满意度高。
Abstract:
Objective To analyze the application effect of emergency nursing risk management in the rescue of patients with acute chest pain.Methods A total of 80 patients with acute chest pain admitted to the emergency department of our hospital from February 2020 to February 2021 were selected as the observation group, and 80 patients with acute chest pain admitted from January 2019 to January 2020 were selected as the control group. The observation group implemented emergency nursing risk management, and the control group implemented routine emergency nursing management. The rescue time, rescue effect, incidence of major adverse cardiovascular events (MACE), nursing satisfaction and nursing defect rate were compared between the two groups.Results The emergency handover time, evaluation time, electrocardiogram completion time, emergency room stay time and starting treatment time in the observation group were shorter than those in the control group (P<0.05). The rescue success rate of the observation group was higher than that of the control group, and the emergency PCI operation rate was lower than that of the control group (P<0.05). There was no significant difference in 30 d mortality between the two groups (P>0.05). The incidence of MACE in the observation group was 10.52%, which was lower than 23.68% in the control group (P<0.05). The scores of basic nursing operation, risk assessment, nursing execution standard, emergency ability and total score in the observation group were higher than those in the control group (P<0.05). The nursing defect rate of the observation group was 3.75%, which was lower than 12.50% of the control group (P<0.05).Conclusion Emergency nursing risk management can effectively shorten the rescue time of patients with acute chest pain, promote the success rate of rescue, and reduce the rate of PCI operation, mortality, MACE incidence and nursing defect rate.

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更新日期/Last Update: 1900-01-01