摘要
目的探讨优化胸痛中心护理质量管理项目对提升急性ST段抬高型心肌梗死(STEMI)患者总体救治质量的影响。方法选取河南中医药大学第一附属医院2016年7—12月(n=30)进行常规护理和2017年1—7月(n=63)进行优化护理质量项目护理的STEMI患者进行分析。比较两组患者性别、年龄、18导联心电图完成时间、从进入医院大门到球囊扩张时间(D2B时间)、心肌损伤标志物报告时间、住院天数的差异。结果两组患者性别、年龄、18导联心电图报告时间比较,差异均无统计学意义(P>0.05);而住院天数、D2B时间、心肌损伤标志物报告时间差异有统计学意义(P<0.05)。结论优化胸痛中心护理质量管理项目,包括护理文书书写、专科仪器操作流程以及病房管理指标,能够缩短STEMI患者住院天数、D2B时间、心肌损伤标志物报告时间,提高了患者的总体救治质量。
Objective To investigate the effects of nursing quality improvement in chest pain center on patients with ST-segment elevation myocardial infarction (STEMI). Methods A total of 93 patients with STEMI who received routine nursing care from July to December 2016 (n=30) and optimized quality nursing care from January to July 2017 (n=63) in the First Affiliated Hospital of He'nan University of Traditional Chinese Medicine were enrolled to the study. The patients' gender, age, and 18-lead ECG completion time, Door-To-Balloon time (D2B), myocardial injury marker report time, and their hospitalization days (d), were compared between the two groups. Results The differences in the indicators including sex, age and 18-leads ECG completion time were not statistically different (P>0.05). However, the differences in hospitalization time, D2B time, and myocardial injury marker report time had statistical significance (P<0.05). Conclusions The optimizing project of nursing quality management, including the optimization of nursing document writing, specialized instrument operation process and ward management index, can reduce patients' hospital stay, D2B time, and myocardial injury marker report time, hence improve the overall treatment quality for the patients.
作者
刘艳萍
杨红蕾
丁艳丽
刘姝
柴爽爽
胡旭红
王双娜
关怀敏
Liu Yanping;Yang Honglei;Ding Yanli;Liu Shu;Chai Shuangshuang;Hu Xuhong;Wang Shuangna;Guan Huaimin(Heart Center of the First Affiliated Hospital of He'nan University of Traditional Chinese Medicine, Zhengzhou 450000, China)
出处
《中华现代护理杂志》
2019年第17期2204-2206,共3页
Chinese Journal of Modern Nursing
基金
河南省高等学校重点科研项目(19A320025).
关键词
心肌梗死
ST段抬高
护理质量
胸痛中心
救治质量
Myocardial infarction
ST-Segment elevation
Nursing quality
Chest pain center
Treatment quality
