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急性ST段抬高型心肌梗死患者急救中应用分级分区护理管理的效果分析 预览

Analysis of the Effect of Grading and Zoning Nursing Management in Emergency Treatment of Patients with Acute ST-segment Elevation Myocardial Infarction
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摘要 目的:探讨分级分区护理管理模式在急性ST段抬高型心肌梗死(STEMI)患者急救中的效果。方法:选取笔者所在医院2015年1月-2017年12月132例急性ST段抬高型心肌梗死患者作为研究对象,按照随机数字表法分为A组和B组,各66例。A组采用常规模式进行护理管理,B组采用分级分区模式进行护理分流管理,对比两组从入院到接受救治时间、救治时间、症状缓解时间、住院时间、平均费用、治疗有效率、并发症发生率、患者及家属满意度。结果:B组入院到接受救治时间、救治时间、症状缓解时间均显著短于A组(P<0.05);B组住院时间、平均费用、治疗有效率及并发症发生率均显著优于A组(P<0.05);B组患者及家属总满意度高于A组(P<0.05)。结论:分级分区管理模式能有效地缩短STEMI患者的就诊时间和救治时间,提高治疗有效率,降低并发症发生率,改善预后,提高患者及家属满意度。 Objective:To explore the effect of grading and zoning nursing management mode in the first aid of patients with acute ST-segment elevation myocardial infarction(STEMI).Method:A total of 132 patients with acute ST-segment elevation myocardial infarction in our hospital from January 2015 to December 2017 were selected as the study subjects,and were divided into the group A and the group B according to random number table method,66 cases in each group.The group A adopted routine mode for nursing management,and the group B adopted graded and zoned mode for nursing shunt management,and compared the time from admission to treatment,treatment time,symptoms relief time,hospitalization time,average cost,treatment efficiency,complication rate and satisfaction degree of patients and their families.Result:The time from admission to treatment,treatment time,symptoms relief time of the group B were significantly shorter than those of the group A(P<0.05).The hospitalization time,average cost,therapeutic efficiency and complication rate of the group B were significantly better than those of the group A(P<0.05).The total satisfaction of patient and family in the group B was higher than that of the group A(P<0.05).Conclusion:The grading and zoning management model can effectively shorten the visiting time and treatment time of STEMI patients,improve treatment efficiency,reduce the incidence of complications,improve the prognosis,and improve the satisfaction of patients and their families.
作者 吴妙略 程龙 颜春铭 WU Miaolue;CHENG Long;YAN Chunming(Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)
出处 《中外医学研究》 2019年第20期69-70,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 ST段抬高 急性心肌梗死 分级分区管理 分流干预 就诊时间 ST segment elevation Acute myocardial infarction Grading and zoning management Shunt intervention Visiting time
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