摘要
目的分析个案追踪法在急性心肌梗死(AMI)患者救护中的应用效果。方法采用对照研究,以2014年1月后急诊科收治的AMI患者作为研究对象,2014年1月—2015年4月改进前85例纳入对照组,采用路径管理,指导临床救护;2015年5月—2016年5月的89例纳入观察组,执行个案追踪法,进行持续质量改进,解决急诊科积极药品心电图有时准备不足、急诊科救护的效率有待提高、交接不够迅速、用药合理水平等救护问题。结果观察组接受呼叫到确诊时间,接受呼叫到溶栓时间,入院到血管介入治疗时间,入院恢复再灌注时间,住院时间低于对照组,差异有统计学意义(P<0.05);观察组抢救成功率高于对照组,术后心血管并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论个案追踪法可获得更丰富的AMI救护个案证据,从而分析需要改进的问题,作为持续改进依据,从而提高护理质量。
Objective To study the application effect of case tracking method in the treatment of acute myocardial infarction patients with acute myocardial infarction. Methods A total of 85 patients from January 2014 to April 2015 were in the control group with path management and 89 ca- ses from May 2015 to May 2016 were in observation group with case tracing method and continuous quality improvement. Active drugs lack of preparation, the efficiency of ECG in emergency depart- ment care needs to be improved, transfer speed, the level of first aid of reasonable medication were observed. Results The observation group had lower receiving call to diagnosis time, accepting call to the time of thrombolysis, admission to vascular interventional treatment time, hospitalization recov- ery reperfusion time, hospitalization time than the control group, the difference was statistically signif- icant（P 〈0.05）. The success rate of observation group was higher than the control group, the inci- dence of postoperative cardiovascular complications was lower than that of the control group （P 〈 0.05）. Conclusion Case tracking method can obtain more abundant evidence of AMI rescue, and the problems that need to be improved can be analyzed so as to improve the quality of nursing.
出处
《实用临床医药杂志》
CAS
2017年第10期7-9,共3页
Journal of Clinical Medicine in Practice
基金
山东省卫生厅基金项目(2015023031)
关键词
急性心肌梗死
个案追踪法
绿色通道
疾病管理
acute myocardial infarction
case tracking
green channel
disease management
