連玉妹

【摘要】 目的：分析研討優(yōu)化急診護(hù)理流程對急診胸痛患者搶救效果的影響。方法：隨機(jī)從筆者所在醫(yī)院2016年3月-2018年2月收治的胸痛患者中抽取80例分組討論，依據(jù)其搶救中護(hù)理干預(yù)方式分組，其中40例接受常規(guī)急診護(hù)理流程干預(yù)（對照組），另40例接受優(yōu)化急診護(hù)理流程干預(yù)（研究組），觀察比較兩組患者搶救效果。結(jié)果：研究組不良反應(yīng)總發(fā)生率（7.50%）低于對照組（30.00%），搶救成功率（70.00%）高于對照組（42.50%），差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組住院時(shí)間、急救時(shí)間、分診時(shí)間、急診停留時(shí)間均低于對照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組總滿意度（85.00%）高于對照組（57.50%），差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：建議臨床搶救急診胸痛患者時(shí)給予優(yōu)化急診護(hù)理流程干預(yù)，可更好地控制不良事件發(fā)生可能性，提升搶救成功率，改善護(hù)患關(guān)系。

【關(guān)鍵詞】 搶救; 胸痛; 急診護(hù)理流程; 急診

doi：10.14033/j.cnki.cfmr.2019.06.034 文獻(xiàn)標(biāo)識碼 B 文章編號 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

醫(yī)院急診科所收治的危重患者最集中且最多，且也為疾譜分布較為廣泛的一個科室[1]，護(hù)理質(zhì)量和治療療效會直接影響到整體醫(yī)療水平。危重癥疾病中較為常見的一種則為胸痛，急診科5%的患者均存在胸痛[2]，多在縱隔腫瘤、肺栓塞、主動脈夾層、急性冠脈綜合征等疾病中發(fā)生，此類疾病共同特征為致死率高、發(fā)病急驟。即正確、快速的診斷疾病原因，并給予有效且及時(shí)的處理，對改善疾病預(yù)后有利。以往多給予常規(guī)急診護(hù)理流程干預(yù)，雖有一定效果，但隨著人們生活質(zhì)量提升，對醫(yī)療質(zhì)量的需求也有增高，常規(guī)急診護(hù)理流程干預(yù)已無法滿足其需求。近年來，筆者所在醫(yī)院將優(yōu)化急診護(hù)理流程應(yīng)用于急診胸痛患者中，搶救成功率得到提升[3]。為此，本研究納入筆者所在醫(yī)院2016年3月-2018年2月收治的胸痛患者80例分組重點(diǎn)討論優(yōu)化急診護(hù)理流程干預(yù)效果。具體報(bào)告如下。