智能护理信息系统在胸痛中心急诊抢救中的应用

Abstract
Figure/Table
References (23)
Related Citation (15)

Download: PDF (721 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the application of intelligent nursing information system in emergency treatment of Chest Pain Center. Methods A total of 42 patients with acute ST elevation myocardial infarction (STEMI) who were admitted to the Department of Emergency of Shanghai Jiao Tong University Affiliated Chest Hospital (“our hospital” for short) from September 2016 to September 2017 were selected as the observation group to implement information-based nursing process intervention in Chest Pain Center. While a total of 40 patients with STEMI admitted to the Department of Emergency of our hospital from August 2015 to August 2016 were selected as the control group to implement the traditional emergency nursing path. The pre-examination and triage time, the first electrocardiogram time, the open venous access time, the oral administration time, the bedside point-of-care test (POCT)+ the test report time of the two groups were compared; the STEMI recurrence rate and the second percutaneous coronary interventional therapy (PCI) operation rate and ST segment reduction rate of the two groups were recorded; the emergency care satisfaction of the families of the two groups were compared. Results The time of pre-examination and triage, the time of the first electrocardiogram, the time of open venous access, the time of oral administration and the time of bedside POCT+ test report in the observation group were significantly shorter than those in the control group and the differences were highly statistically significant (P ＜ 0.01). The treatment time of the observation group was shorter than that of the control group, while the success rate of first aid was higher than that of the control group, and the differences were statistically significant (P ＜ 0.05). The STEMI recurrence rate and secondary PCI rate in the observation group were lower than those in the control group, and the ST segment reduction rate was higher than that in the control group, and the differences were statistically significant (P ＜ 0.05). The satisfaction of the observation group (97.62%) was higher than that of the control group (77.50%), and the difference was statistically significant (P ＜ 0.05). Conclusion The intelligent information system can effectively optimize the rescue nursing process of the chest pain center, shorten the treatment time of patients, improve the success rate of treatment, and enhance the satisfaction of nursing, which is worthy of promotion.

Key words： Intelligent information system Chest pain center Acute myocardial infarction Salvage success rate

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHAO Tingting PAN Luyi▲ WAN Guangming LIU Xiaoxin ZHONG Hua

Cite this article:

ZHAO Tingting PAN Luyi▲ WAN Guangming LIU Xiaoxin ZHONG Hua. Application of intelligent nursing information system in emergency treatment of Chest Pain Center[J]. 中国医药导报, 2020, 17(16): 167-170.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I16/167

[1] Mangion K，Carrick D，Clerfond G，et al. Predictors of segmental myocardial functional recovery in patients after an acute ST-Elevation myocardial infarction [J]. Eur J Radiol，2019，112：121-129.
[2] Mazur R，Buksińska-Lisik M，Mamcarz A. ST-segment elevation myocardial infarction with non-obstructive coronary arteries in a patient with severe diabetic acidosis [J]. Pol Merkur Lekarski，2018，45（270）：248-250.
[3] 郭群.胸痛中心STEMI患者直接入导管室行PCI治疗的护理效果分析[J].中国保健营养，2019，29（30）：176.
[4] 中华医学会心血管病学分会介入心脏病学组.中国经皮冠状动脉介入治疗指南（2016）[J].中华心血管病杂志，2016，44（5）：382.
[5] 陆谢娜.规范化胸痛中心的建立及效果评价[J].广西医学，2019，41（12）：1568-1571.
[6] Graff LG，Dallara J，Ross MA，et al. Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry （CHEPER） study [J]. Am J Cardiol，1997，80（5）：563-568.
[7] 孔秋燕，黄维忠，李艳.“扁鹊飞救”系统在边远山区胸痛患者的院前急救中的应用效果及护理配合[J].齐齐哈尔医学院学报，2016，37（5）：694-695.
[8] 朱秀芬.优化急诊护理流程对急性心肌梗死患者抢救效果的影响[J].现代临床护理，2010，9（6）：13-15.
[9] 张国悦，杨海花，金鑫，等.护理干预对新入院患者首份床旁心电图检查时间的影响[J].母婴世界，2018（9）：253.
[10] 胡文彩，刘刚，钟茂梅，等.优化抢救定位流程在救护车转运时心肺复苏的运用[J].岭南急诊医学杂志，2018， 23（6）：603-605.
[11] 占小燕.基于JCI标准规范外科住院患者口服给药管理的实施效果[J].中医药管理杂志，2019，27（2）：136-138.
[12] POCT基层医疗卫生机构应用专家共识协作组.现场快速检测（POCT）基层医疗卫生机构应用专家共识[J].中国医学装备，2019，16（8）：143-145.
[13] 周海婷，余雪贤，雷国灵，等.急性心肌梗死患者应用急诊护理路径对抢救效率与康复效果的影响观察[J].名医，2019（9）：162.
[14] 王寅冰，张婧婧.护理流程优化对ST段抬高型心肌梗死病人PCI急救护理质量的影响[J].全科护理，2019， 17（26）：3257-3259.
[15] Bajaj A，Sethi A，Rathor P，et al. Acute complications of myocardial infarction in the current era：Diagnosis and management [J]. J Investig Med，2015，63（7）：844-855.
[16] Zhang L，Wang H，Zhao Y，et al. Myocyte-specific overexpressing HDAC4 promotes myocardial ischemia/reperfusion injury [J]. Mol Med，2018，24（1）：37.
[17] Zacchigna S，Martinelli V，Moimas S，et al. Paracrine effect of regulatory T cells promotes cardiomyocyte proliferation during pregnancy and after myocardial infarction [J]. Nat Commun，2018，9（1）：2432.
[18] 李娟，魏丹，王宇.护理流程优化对急性心肌梗死救护状况的影响[J].护理实践与研究，2017，14（17）：112-113.
[19] 徐敏君.急诊护理流程优化后对急性心肌梗死患者抢救的影响[J].中外医学研究，2019，17（7）：106-107.
[20] 冯超如.优化急诊护理流程对急性心肌梗死患者抢救效果的影响[J].中国医药科学，2019，9（20）：139-141，173.
[21] 严爱龙.智能化临床护理管理信息系统建设[J].自动化与仪器仪表，2018（6）：155-157.
[22] 曾奕云，李丹琴,鲁锦胜，等.护理流程再造在急诊严重创伤患者中的应用研究[J].中国医学创新，2018，15（4）：87-91.
[23] 刘晗.优化急诊护理流程对急性心肌梗死患者抢救效果的影响分析[J].世界最新医学信息文摘，2019，19（67）：342-345.