全程无缝链接式护理干预在急性冠状动脉综合征救治中的应用

发布时间：2018-03-18 20:18

本文选题：急性冠脉综合征　切入点：区域化　出处：《中华护理杂志》2017年04期 　论文类型：期刊论文

【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(P0.05)。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(P0.05)。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。
[Abstract]:Objective to explore the feasibility and effect of seamless link nursing intervention in the regionalization of patients with acute coronary syndrome (ACS). The nursing intervention of seamless link was carried out in transit and catheterization. The time points of treatment for patients with acute coronary syndrome (ACS) before (control group) and after (trial group) were compared. Results the time of balloon dilation, the time of arrival to the hospital, the time of referral, the time of obtaining informed consent, the death rate, the ejection fraction of left ventricle were compared between the two groups. There were significant differences in left ventricular end-diastolic diameter between the two groups (P 0.05). The average hospitalization time, hospitalization cost, the ratio of consumption cost to total cost, the ratio of drug use fee to total cost, and the mortality of patients during hospitalization were compared between the two groups. The difference was statistically significant (P 0.05). Conclusion the whole process of seamless nursing intervention can shorten the time of regionalization and synergetic treatment of patients with acute coronary syndrome, improve the prognosis and reduce the economic burden of the patients. To improve the treatment efficiency of acute coronary syndrome.
【作者单位】：江苏大学附属医院心内科;
【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)
【分类号】：R473.5

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