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目的观察流程再造应用于急性心肌梗死患者的临床效果,为改善患者预后探索有效的护理措施。方法选取2015年7月至2015年12月于广东省中医院急诊科就诊的急性心肌梗死患者共112例为治疗组,按照流程再造护理程序护理,并选取2015年1月至2015年12月于广东省中医院急诊科就诊的给予流程再造前的急诊护理流程的急性心肌梗死患者112例为对照组,对比分析流程再造前和再造后两组的抽血时间、分诊评估时间、血液检查时间、心电图检查时间、家属决策时间、就诊至经皮冠状动脉介入时间、住院时间、90 min PCI率和护患满意度。结果治疗组护士抽血时间、家属决策时间、分诊评估时间、平均住院时间、就诊至经皮冠状动脉介入时间、血液检查时间均低于对照组(P<0.05)。治疗组90 min内PCI率均明显高于对照组(P<0.05)。治疗组护患满意度明显提高(P<0.05)。结论急诊流程再造可以降低急性心肌梗死患者经皮冠状动脉介入前的等待时间,改善患者的预后。
Objective To observe the clinical effect of reengineering in patients with acute myocardial infarction and to explore effective nursing measures to improve the prognosis of patients. Methods From July 2015 to December 2015, 112 patients with acute myocardial infarction who were referred to the emergency department of Guangdong Provincial Hospital of Traditional Chinese Medicine for treatment were enrolled in this study. They were treated according to procedure reengineering nursing program and selected from January 2015 to December 2015 at 112 patients with acute myocardial infarction who were given emergency nursing process before the procedure re-establishment were selected as the control group, and the blood sampling time, triage assessment time and blood test time before and after reconstructive surgery were compared between Guangdong Provincial Hospital of Traditional Chinese Medicine and Emergency Department. , Electrocardiogram examination time, decision-making time of family member, time of visit to percutaneous coronary intervention, length of stay, 90 min PCI rate, and patient satisfaction. Results The time of taking blood, the decision-making time of family members, the time of triage evaluation, the average length of stay, the duration of percutaneous coronary intervention and the time of blood examination in the treatment group were all lower than those in the control group (P <0.05). The PCI rate in the 90-min treatment group was significantly higher than that in the control group (P <0.05). Satisfaction of nurses and patients in treatment group was significantly improved (P <0.05). Conclusion The emergency procedure reengineering can reduce the waiting time before percutaneous coronary intervention in patients with acute myocardial infarction and improve the prognosis of patients.