摘要
目的探讨全程无缝链接式护理干预在急性冠状动脉综合征患者区域化协同救治中的可行性及实施效果。方法对急性冠状动脉综合征区域化协同救治的院前基层医院、转运途中及导管室实施全程无缝链接式护理干预,比较实施前(对照组)和实施后(试验组)急性冠状动脉综合征患者救治的时间节点、治疗效果及主要住院指标。结果比较两组的首次医疗接触到球囊扩张时间、患者到达医院至球囊扩张开通血管时间、转诊时间及获得知情同意时间、病死率、左心室射血分数、左心室舒张末期内径,差异具有统计学意义(P<0.05)。比较两组的平均住院时间、住院费用、患者使用耗材费占总费用的比率及使用药品费占总费用的比率、患者住院期间病死率,差异具有统计学意义(P<0.05)。结论全程无缝链接式护理干预可以缩短急性冠状动脉综合征患者区域化协同救治时间,改善预后,减轻患者经济负担,提高急性冠状动脉综合征的救治效率。
Objective To investigate the feasibility and effects of whole-procedure seamless nursing intervention during regional collaborative treatment of patients with acute coronary syndrome. Methods Nursing intervention was performed on pre-hospital collaboration, transfer collaboration and catheter room collaboration during regional collab- orative treatment of patients with ACS. Treatment time point, therapeutic effects and major hospitalization indicators were compared before（the control group） and after（the experimental group） implementation of nursing intervention. Results There were significant differences in mean FMC-to-B time, D-to-B time, referral time, obtaining informed consent time, mortality, LVEF and LVED between two groups（P〈0.05）. There were significant differences in days of hospitalization, expenditures, percentage of consumables, percentage of medication, and in-hospital mortality between two groups （P〈0.05）. Conclusion Whole-procedure nursing intervention can reduce time of regional collaborative treatment of patients with acute coronary syndrome, improve prognosis, decrease financial burden and increase effi- ciency of ACS treatment.
出处
《中华护理杂志》
CSCD
北大核心
2017年第4期426-430,共5页
Chinese Journal of Nursing
基金
国家临床重点专科项目(2011)
江苏省社会发展面上项目(BE2016719)
江苏省333人才项目(BRA2014162)
镇江市社会发展(SH2015022)
江大临床医学专项基金(JDLCZX026)
