优化急救护理流程对急性心肌梗死患者救治的影响

目的 探讨应用优化急救护理流程对急性心肌梗死患者救治的效果.方法 将2011年8月～2013年2月杭州市第一人民医院急诊出车接诊的急性心肌梗死患者122例分为观察组64例和对照组58例,对照组采用常规急救护理流程,观察组采用优化急救护理流程,对比两组的急救时间、急救效果及患者满意度.结果 两组出诊时间差异无统计学意义(P＞ 0.05),观察组救治时间、溶栓或介入时间均显著少于对照组(P＜0.05),观察组急救成功率和患者满意率均显著高于对照组(P＜0.05),住院时间及住院期间死亡率均显著低于对照组(P＜0.05).结论 对急救现场的情况了解和正确处理指导,转运途中对症处理和病情评估,急诊绿色通道衔接的优化急救护理流程,使患者获干预时间提前,缩短等待治疗处理时间,提高急救成功率和患者满意度,降低死亡率.

Effect of optimizing the emergency care process on the treatment of acute myocardial infarction

Objective To investigate the application to optimize the emergency care process effect on the treatment of patients with acute myocardial infarction. Methods From August 2011 to February 2013, the emergency treatment of 122 patients with acute myocardial infarction Hangzhou First People＇s Hospital emergency room were divided into two groups of 64 cases in the control group, 58 cases in the control group were treated with conventional emergency care process, observed group to optimize the emergency care process, compared two groups of first aid, first-aid effect and patient satisfaction. Results The two groups of visiting time difference was not statistically significant （P〉 0.05）, treatment time, thrombolysis or intervention time of observation group were significantly less than the control group （P 〈0.05）, the observation group first aid success rate and patient satisfaction were significantly higher than that of the control group （P 〈0.05）, length of stay and hospital mortality were significantly less than the control group （P 〈 0.05）. Conclusion The case of the emergency scene understanding and proper handling instructions, transit symptomatic treatment and condition assessment, emergency green channel optimization of convergence emergency care process, so that patients for intervention ahead of time, to shorten the wait for treatment processing time, improve the success rate of first aid and patient satisfaction and reduce mortality.