应用医护一体化模式改良STEMI急救流程探讨.docVIP

精品论文 参考文献 应用医护一体化模式改良STEMI急救流程探讨 东迎 　　江苏省沛县人民医院急诊科 江苏 徐州 221600 　　【摘 要】目的 探讨急诊科应用与医护一体化工作模式改良STEMI急救流程临床效果。方法 选取80例急诊科收治急性ST段抬高型心肌梗死（STEMI）患者，随机分为对照组和观察组各40例。对照组实施常规治疗护理方法，观察组实施医护一体化工作模式应用。结果 观察组与对照组比较，患者症状发作至急诊手术完成率、围术期院内病死率、平均住院日，差异均有统计学意义( p＜0.05)。结论 应用医护一体化工作模式改良急诊STEMI急救流程，可显著提高急救工作质量，缩短院前抢救时间，提高救治率，具有极高推广应用价值。 　　【关键词】医护一体化；心肌梗死；急救流程 　　Discussion on the application of the integrated model of medical care and medical treatment to improve the emergency procedure 　　Dong Ying 　　Emergency department of Peixian peoples Hospital, Xuzhou City, Jiangsu Province, Xuzhou City, Xuzhou, Jiangsu City, Peixian 221600 　　Abstract: Objective To explore the clinical effect of the application of emergency department and medical care integration work mode to improve the STEMI emergency procedure. Method 80 patients with acute ST segment elevation myocardial infarction (STEMI) were randomly divided into control group and observation group with 40 cases in each group. The control group received routine treatment and nursing, the observation group implemented the integration of medical and nursing work mode. Result Compared with the control group, the symptoms of patients were significantly different from the patients with emergency operation, the mortality and the average length of hospital stay, the difference was statistically significant (P lt; 0.05). Conclusion Application of medical and health work mode to improve the emergency treatment process, can significantly improve the quality of first aid work, shorten the hospital before the rescue time, improve the treatment rate, has a high popularization and application value. 　　Key words:Medical integration; Myocardial infarction; Emergency procedure 　　【中图分类号】R853.6【文献标识码】A【文章编号】2096-0867（2015）-06-002-01 　　医护一体化是指相对固定的医生和护士组成救治小组，负责组内病人诊疗活动的责任制整体医疗服务。医护一体化工作模式打破了原有的医患、护患两条平行线的模式，重建医、护、患三位一体的崭新工作格局。随着急性ST段抬高型心肌梗死（STEMI）的诊断和治疗标准新修订，对STEMI分型、诊断、危险分层、急救流程以及入院后一般处理等都作了新的要求。2013年以来我院基于急诊急救医护床边技术考核标准要求，开始试点并推行医护一体化工作模式，通过改革工作流程、创新服