摘要
目的探讨暴发性心肌炎患者急诊标准化急救流程的实施效果。方法将急诊科就诊的疑似暴发性心肌炎患者80例,按照患者就诊时间顺序分为对照组40例和观察组40例。对照组按常规急救流程实施救治及护理,观察组按照科室构建的暴发性心肌炎标准化急救流程实施救治及护理。结果对照组31例、观察组40例完成研究。观察组急诊预检分诊准确率显著高于对照组,确诊患者急诊候诊时间及实施前后急诊科停留时间显著短于对照组(均P<0.05);实施标准化急救流程后急诊医护人员安全态度的安全氛围、管理感知维度得分显著高于实施前(均P<0.05)。结论暴发性心肌炎患者急诊标准化急救流程的建立与实施,有利于早期筛查识别暴发性心肌炎患者,缩短急诊候诊时间及停留时间,可提高患者救治效率。
Objective To explore the application effect of emergency standardized first aid process for patients with fulminant myocarditis(FM)in emergency department.Methods A total of 80 patients suspected of FM treated in the emergency department were divided into 2 groups of 40 cases each according to the time of admission.The control group was subjected to traditional first aid process,while the observation group was subjected to a standardized first aid process for FM.Results A total of 31 patients in the control group and 40 patients in the observation group completed the study.The FM triage accuracy in the observation group was significantly higher than that in the control group,and the emergency room waiting time and the length of stay in the emergency room among patients later confirmed FM in the observation group were significantly shorter than those in the control group(all P<0.05).After the implementation of the standardized first aid process,the scores of safety atmosphere and management perception dimensions in the safety attitude of emergency medical staff were higher than those before the implementation(all P<0.05).Conclusion Establishment and implementation of the stan-dardized of emergency first aid process,is helpful for early screening and identifying FM patients,shortens the waiting time and stay time in the emergency department,and improve the efficiency of patient treatment.
作者
李慧羚
李莹
柯键
江敏
Li Huiling;Li Ying;Ke Jian;Jiang Min(Department of Emergency,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第4期37-40,56,共5页
Journal of Nursing Science
关键词
暴发性心肌炎
标准化流程
急救流程
预检分诊
预警筛查
急诊救治
候诊时间
安全态度
fulminant myocarditis
standardized processes
emergency treatment process
triage
warning and screening
emergency treatment
waiting time
attitude toward safety
