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优化急诊护理流程对抢救室急性胸痛患者抢救效果的影响

The Impact of Optimizing Emergency Nursing Processes on the Rescue Effect of Acute Chest Pain Patients in the Emergency Room
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摘要 目的观察优化急诊护理流程对抢救室急性胸痛抢救效果影响。方法回顾性分析2022年12月至2023年12月厦门市中医院急诊科抢救室80例急性胸痛患者,据护理流程不同分为对照组(40例,常规急诊护理)和研究组(40例,优化急诊护理)。比较两组护理前后心率、呼吸频率、SpO_(2)、胸痛程度评分、SDS评分、SAS评分、抢救指标、症状消失时间和满意度。结果本研究显示,护理前,两组心率、呼吸频率、SpO_(2)、胸痛程度评分、SDS和SAS评分无显著差异性(P>0.05)。护理后,两组心率和呼吸频率较护理前更平稳,胸痛程度评分降低,SpO_(2)较护理前更高(P<0.05)。研究组抢救指标、症状消失时间均更短,总满意度更高(P<0.05)。结论对抢救室急性胸痛抢救中,实施以优化急诊护理流程,可改善患者心功能组别,减轻胸痛严重程度,改善不良情绪,并缩短患者的相关抢救指标及症状消失时间,提升患者对于抢救室抢救流程的满意度。 Objective To observe the impact of optimizing emergency nursing processes on the rescue effects in the emergency room for patients with acute chest pain.Methods A retrospective analysis was conducted on 80 cases of acute chest pain patients in the emergency rescue room of Xiamen Traditional Chinese Medicine Hospital from December 2022 to December 2023.According to the different nursing processes,they were divided into a control group(40 cases,routine emergency nursing)and a study group(40 cases,optimized emergency nursing).The heart rate,respiratory rate,SpO_(2),chest pain severity score,SDS score,SAS score,rescue indicators,symptom disappearance time,adverse reaction incidence rate,and satisfaction were compared before and after nursing between the two groups.Results Before nursing,there were no significant differences in heart rate,respiratory rate,SpO_(2),chest pain severity score,SDS,and SAS scores between the two groups(P>0.05).After nursing,the heart rate and respiratory rate of both groups were more stable than before nursing,the chest pain severity score decreased,and SpO_(2) was higher than before nursing(P<0.05).The study group had shorter rescue indicators,shorter symptom disappearance time,and higher overall satisfaction(P<0.05).Conclusions In the rescue of patients with acute chest pain in the emergency room,implementing an optimized emergency nursing process can improve the heart function group,reduce the severity of chest pain,improve adverse emotions,shorten the patient’s rescue indicators and symptom disappearance time,and enhance patient satisfaction with the rescue process in the emergency room.
作者 张婉茹 卢彩恋 ZHANG Wanru;LU Cailian(Department of Emergency,Xiamen Traditional Chinese Medicine Hospital,Xiamen 361009,China)
出处 《中国医药指南》 2024年第32期160-162,共3页 Guide of China Medicine
关键词 胸痛 抢救室 优化急诊护理流程 抢救效果 Chest pain Rescue room Optimize the emergency nursing process Rescue effect
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