The effects of optimizing the timeliness of emergency care of patients with ST-elevation myocardial infarction in hospital
10.3760/cma.j.issn.1672-7088.2018.23.005
- VernacularTitle:急性ST段抬高型心肌梗死患者院内救护时效性优化的效果
- Author:
Jiaoyu CAO
1
;
Xia CHEN
;
Dandan YIN
;
Hua YU
;
Hongzhi JI
;
Cuihong ZHU
;
Likun MA
Author Information
1. 中国科学技术大学附属第一医院安徽省立医院南区心内科
- Keywords:
Acute ST segment elevation myocardial infarction;
Nursing process;
Hospital rescue;
Timeliness
- From:
Chinese Journal of Practical Nursing
2018;34(23):1782-1787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of optimizing rescue time for patients with acute st-elevation myocardial infarction (STEMI) in the hospital. Methods A retrospective analysis of the clinical data of 133 patients with ST-elevation myocardial infarction who were hospitalized in the first affiliated hospital of university of science and technology of china during July,2016 to June,2017 was performed. Timeline in the rescue, the result of coronary reperfusion and satisfaction degree of patients were analyzed. Results The rapid evaluation time (F=2.609, P=0.046),emergency handling time(F=7.581, P=0.032), login and logout time (F=5.667, P=0.017)and visit-ballon time (F=8.942, P=0.007) were shortened quarter by quarter . The average time of each project in the four quarters showed a statistically significant difference. The difference of TIMI classification of coronary flow reperfusion among the four quarters was statistically significant (H=8.402, P=0.038). The satisfaction degree of each quarter showed a statistically significant difference (the third quarter of 2016:94.68±2.38, the fourth quarter of 2016:96.72± 5.10, the first quarter of 2017:97.23 ± 7.64,the second quarter of 2017:98.36 ± 4.86;F=7.891,P=0.048). Conclusions Enhancing timeliness of emergency care can remarkably shorten rescue time, improve satisfaction degree of patients and help to improve the success rate of emergency treatment for patients with STEMI.
