The effect of nursing pathway on the treatment of patients with ST-segment elevation myocardial infarction in chest pain center
10.3760/cma.j.issn.1672-7088.2018.18.005
- VernacularTitle:胸痛中心模式下的急救护理路径对ST段抬高型心肌梗死患者诊治效果的探讨
- Author:
Qiuxiang HU
1
;
Meizhong LI
;
Chaoyan XU
;
Xiangqun LIU
;
Yuemei CHEN
;
Yanmei HUANG
;
Tiekun ZHAN
Author Information
1. 中山大学附属第一医院急诊科
- Keywords:
Chest pain center;
Nursing path;
ST-segment elevation myocardial infarction;
The effect of diagnosis and treatment
- From:
Chinese Journal of Practical Nursing
2018;34(18):1380-1384
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of first aid nursing path under the center of chest pain on the diagnosis and treatment of patients with ST-segment elevation myocardial infarction (STEMI). Methods A total of 79 cases of STEMI patients who had been selected for emergency treatment after the establishment of the chest pain center were as the experimental group. The patient's first aid nursing path was used in the center of chest pain. A total of 159 cases of STEMI patients before the establishment of the chest pain center were as the control group, Application of traditional clinical pathway. Compared to the diagnosis and treatment effect of two groups of patients. Results The rate of completed the project within 10 min for the experimental group: the completion of electrocardiogram examination (91.1% vs 84.9% ), oral aspirin, clopidogrel, or lindinda (81.0% vs 75.5%), and laboratory medical order (79.7% vs 69.8%) were higher than those in the control group, and the difference was statistically significant (χ2=2.31, 1.68, 2.06, P < 0.05). The day of hospitalization in the experimental group was less than that of the control group (6.48±3.82 vs 9.76± 4.32), and the difference was statistically significant (t=-9.80, P < 0.05). The mortality rate during hospitalization was lower than that of the control group (5.66% vs 3.8% ), and the difference was statistically significant (χ2=-2.24, P<0.05). Conclusion The first aid nursing path in the center of chest pain can shorten the time of diagnosis and treatment of STEMI patients and improve the diagnosis and treatment effect of STEMI patients.
