摘要
目的 探讨智能护理信息系统在胸痛中心急诊抢救中的应用.方法 选取2016年9月~2017年9月上海交通大学附属胸科医院(以下简称"我院")急诊科收治的42例急性ST段抬高型心肌梗死(STEMI)患者作为观察组,实施信息化的胸痛中心护理流程干预.另选取2015年8月~2016年8月我院急诊科收治的40例STEMI患者作为对照组,实施传统急诊护理路径.比较两组患者预检分诊时间、首份心电图时间、开放静脉通路时间、口服给药时间、床边即时检验(POCT)+检验报告时间等;记录两组患者STEMI复发率、二次经皮冠状动脉介入治疗(PCI)术率及ST段降低率;比较两组患者家属急诊护理满意度.结果 观察组预检分诊时间、首份心电图时间、开放静脉通路时间、口服给药时间、床边POCT+检验报告时间均显著短于对照组,差异有高度统计学意义(P<0.01).观察组救治时间短于对照组,急救成功率高于对照组,差异有统计学意义(P<0.05).观察组STEMI复发率、二次PCI术率低于对照组,ST段降低率高于对照组,差异有统计学意义(P<0.05).观察组患者满意度(97.62%)高于对照组(77.50%),差异有统计学意义(P<0.05).结论 智能化信息系统能够有效地优化胸痛中心的抢救护理流程,缩短患者救治时间,提升救治成功率,提高护理满意度,值得推广.
Objective To analyze the application of intelligent nursing information system in emergency treatment of Chest Pain Center.Methods A total of 42 patients with acute ST elevation myocardial infarction(STEMI)who were admitted to the Department of Emergency of Shanghai Jiao Tong University Affiliated Chest Hospital("our hospital"for short)from September 2016 to September 2017 were selected as the observation group to implement information-based nursing process intervention in Chest Pain Center.While a total of 40 patients with STEMI admitted to the Department of Emergency of our hospital from August 2015 to August 2016 were selected as the control group to implement the traditional emergency nursing path.The pre-examination and triage time,the first electrocardiogram time,the open venous access time,the oral administration time,the bedside point-of-care test(POCT)+the test report time of the two groups were compared;the STEMI recurrence rate and the second percutaneous coronary interventional therapy(PCI)operation rate and ST segment reduction rate of the two groups were recorded;the emergency care satisfaction of the families of the two groups were compared.Results The time of pre-examination and triage,the time of the first electrocardiogram,the time of open venous access,the time of oral administration and the time of bedside POCT+test report in the observation group were significantly shorter than those in the control group and the differences were highly statistically significant(P<0.01).The treatment time of the observation group was shorter than that of the control group,while the success rate of first aid was higher than that of the control group,and the differences were statistically significant(P<0.05).The STEMI recurrence rate and secondary PCI rate in the observation group were lower than those in the control group,and the ST segment reduction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).The satisfaction of the observation group(97.62%)was higher than that of the control group(77.50%),and the difference was statistically significant(P<0.05).Conclusion The intelligent information system can effectively optimize the rescue nursing process of the chest pain center,shorten the treatment time of patients,improve the success rate of treatment,and enhance the satisfaction of nursing,which is worthy of promotion.
作者
赵婷婷
潘璐意
万光明
刘晓芯
钟华
ZHAO Tingting;PAN Luyi;WAN Guangming;LIU Xiaoxin;ZHONG Hua(Department of Emergency,Shanghai Jiao Tong University Affiliated Chest Hospital Shanghai Chest Hospital,Shanghai 200030,China)
出处
《中国医药导报》
CAS
2020年第16期167-170,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81472642)
上海交通大学医学院科技基金立项资助项目(JYH1502)
上海市卫计委课题立项资助项目(201740253)。
关键词
智能化信息系统
胸痛中心
急性心肌梗死
抢救成功率
Intelligent information system
Chest pain center
Acute myocardial infarction
Salvage success rate
