急诊护理流程对急性冠脉综合征急救效率和质量的影响

摘要

Objective To investigate the effect of emergency nursing procedures on the first-aid efficacy and quality of the pa-tients with acute coronary syndromes (ACSs).Methods Eighty patients with ACSs treated in the emergency department of our hospital from March 2012 to March 2014 were selected for the study.These patients were randomly divided into 2 groups:the study group and the control group, each consisting of 40 patients.The control group was given routine care, while the study group was given nursing care with emergency nursing procedures.Results The time used for all the emergency medical receptions in the patients of the study group was significantly shorter than that of the control group (P<0.05).The levels of CK-MB and hs-cTnT [(14.8 ±2.4)U/L,6.2 ±0.9) mg/L] were all significantly lower than those of the control group [(36.2 ±7.6)U/L,(14.2 ±2.4)mg/L] (P<0.05).The LVEF and LVEDD levels of the study group were all significantly higher than those of the control group ( P<0.05) .The scores of PF, GH, VT, SF, RE and MH were markedly higher than those of the control group (P<0.05), and the satisfaction scores of therapeutic nurs-ing, patient service, health education, psychological nursing care were also significantly higher than those of the control group ( P<0.05).Conclusion Emergency nursing procedures could significantly improve the efficacy of first-aid and quality of the patients with acute coronary syndromes.%目的：探讨急诊护理流程对急性冠脉综合征（ acute coronary syndrome，ACS）急救效率和质量的影响。方法选取我院急诊科2012年3月至2014年3月收治的80例ACS患者，依据知情同意的原则将这些患者分为2组，即研究组和对照组，每组40例。给予对照组患者常规护理，给予观察组患者急诊护理流程护理。结果研究组患者的各急诊接诊时间均显著短于对照组，差异有统计学意义（P＜0．05），肌酸激酶同工酶（CK-MB）、高敏心肌肌钙蛋白（hs-cTnT）水平[（14．8±2．4）U／L，（6．2±0．9）mg／L]均显著低于对照组[（36．2±7．6）U／L，（14．2±2．4）mg／L]，差异有统计学意义（P＜0．05），左室射血分数（LVEF）、舒张末期直径（LVEDD）水平均显著高于对照组，差异有统计学意义（P＜0．05），生理功能（PF）、总体健康（GH）、活力（VT）、社会功能（SF）、情感职能（RE）、精神健康（MH）评分均显著高于对照组，差异有统计学意义（P＜0．05），治疗性护理、服务态度、健康教育、心理护理满意度评分均显著高于对照组（P＜0．05）。结论急诊护理流程护理能够显著提高对ACS患者的急救效率和质量。