急诊护理流程优化对急诊患者抢救效率的影响

戴 卫萍
上海中医药大学附属龙华医院

摘要

目的：探究急诊护理流程优化对急诊患者抢救效率的影响。方法：选取2021年3月—2022年3月笔者医院急诊科收治的100例急性心肌梗死患者为研究对象，随机分为对照组和观察组，每组各50例患者。对照组实施常规护理，观察组实施急诊护理流程优化模式，将两组患者护理满意度、溶栓效果、急诊各项干预时间进行比较。结果：观察组患者护理满意度为98.0%明显高于对照组，X2＝6.3159；观察组溶栓开始时间为（55.05±3.0）min明显短于对照组，t＝11.3154；溶栓成功率为92.0％明显高于对照组，X2＝5.3698；出血率为0明显低于对照组，t＝12.3465；卧床时间为（35.45±13.0）min明显短于对照组，t＝11.3642；观察组接诊时间、检查时间、分诊耗时、静脉给药时间分别为（8.45±1.1）min、（12.25±1.0）min、（0.45±0.1）min、（4.35±1.0）min，明显优于对照组，t值分别为10.3245、11.3652、9.3648、9.3146，（P＜0.05）。结论：临床上针对急诊患者实施急诊护理流程优化模式可以显著提高急诊患者抢救效率，能提高患者护理满意度，缩短各个项目所耗时间，急诊护理流程优化可以在临床上急诊患者抢救中应用开来。

关键词

急诊护理流程优化；急诊患者；抢救效率；影响分析

参考

[1] 王钰倩.急诊护理流程优化对急诊患者抢救效率的影响[J].养生保健指南,2020(10):135. [2] 闫敏,马蕾,黄玉双,等.急诊护理流程优化对急诊患者抢救效率的影响分析[J].健康大视野,2021(20):150. [3] 卞婷,李莎.急诊护理流程优化对急诊患者抢救效率的影响观察[J].东方药膳,2021(21):222. [4] 蒋琴,李倩倩,周莉,等.急诊护理流程优化对急诊患者抢救效率的影响[J].饮食保健,2019,6(27):225-226. [5] 王玉佩,孙霞,刘淑萍.急诊护理流程优化对急诊患者抢救效率的影响分析[J].健康大视野,2019(19):136. [6] 饶桂丽.急诊护理流程优化对急诊患者抢救效率的影响分析[J].东方药膳,2019(12):74-75. [7] 曹亚明.急诊护理流程优化对急诊患者抢救效率的影响[J].养生保健指南,2021(5):179. [8] 刘乐.急诊护理流程优化对急诊患者抢救效率的影响[J].医学美学美容,2020,29(11):156-157. [9] 徐少君.急诊护理流程优化对急诊患者抢救效率的影响分析[J].实用临床护理学电子杂志,2019,4(6):120. [10] 赵瑞珠.急诊护理流程优化对急诊患者抢救效率的影响观察[J].医学美学美容,2019,28(2):126-127. [11] 贾璐.急诊护理流程优化对急诊患者抢救效率的影响[J].百科论坛电子杂志,2020(14):81. [12] ABULEBDA,KAMAL,LUTFI,RIAD,PETRAS,EDGAR A.,et al.EVALUATION OF A NURSE PEDIATRIC EMERGENCY CARE COORDINATOR-FACILITATED PROGRAM ON PEDIATRIC READINESS AND PROCESS OF CARE IN COMMUNITY EMERGENCY DEPARTMENTS COLLABORATION WITH A PEDIATRIC ACADEMIC MEDICAL CENTER[J].Journal of emergency nursing:JEN:official publication of the Emergency Department Nurses Association,2021,47(1):167-180. [13] JANHUNEN,KATJA,KANKKUNEN,PAIVI,KVIST,TARJA.Pediatric emergency care:Associations between process factors and outcomes-Children's and parents'views combined with register data[J].International emergency nursing,2021,54. [14] OFOSU BERNICE,OFORI DAN,NTUMY MICHAEL,et al.Assessing the functionality of an emergency obstetric referral system and continuum of care among public healthcare facilities in a low resource setting:an application of process mapping approach[J].BMC Health Services Research,2021,21(1). [15] DERCKSEN BERT,STRUYS MICHEL M.R.F.,CNOSSEN FOKIE,et al.Qualitative development and content validation of the“SPART”model;a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process[J].BMC Emergency Medicine,2021,21(1).