98例急诊科致命性胸痛患者不同护理对策回顾性研究.docVIP

98例急诊科致命性胸痛患者不同护理对策回顾性研究 　　【摘要】 目的：回顾性分析比较我院急诊科98例致命性胸痛患者不同护理对策的效果。方法：本研究纳入2013年1月-2017年1月笔者所在医院急诊科收住的致命性胸痛患者98例，根据患者就诊时接受常规护理或优质护理措施，分为对照组（n=48）及观察组（n=50），比较两组患者的护理满意度、抢救时间及全因死亡率的差异。结果：与对照组相比，观察组护理满意度明显提高，抢救时间明显缩短，全因死亡率明显下降，差异均有统计学意义（P0.05）。结论：针对急诊科致命性胸痛患者就诊时应实施优质护理措施，能提高护理满意度，降低病死率。 　　【关键词】 致命性胸痛； 护理对策； 急诊科； 回顾性研究 　　doi：10.14033/ki.cfmr.2017.25.043 文献标识码 B 文章编号 1674-6805（2017）25-0084-02 　　【Abstract】 Objective：To retrospectively compare the different effects of nursing strategy for 98 patients with lethal chest pain （LCP） in emergency department.Method：A total of 98 patients with LCP in Emergency Department，Fujian Provincial Geriatric from January 2013 to January 2017 were enrolled in the present study.All the patients were classified as control group （n=48） which received routine nursing care，or observation group （n=50） which received high-quality nursing care.Patients satisfaction degree toward nursing care，the time of first-aid and all-cause mortality rate were compared between two groups.Result：Patients satisfaction degree toward nursing care in observation group was significantly higher，the time of first-aid was significantly shorter and all-cause mortality rate decreased significantly than those in the control group.The differences were statistically significant（P0.05）.Conclusion：High-quality nursing care can improve patients satisfaction degree toward nursing care， and reduce all-cause mortality rate for patients with lethal chest pain in emergency department. 　　【Key words】 Lethal chest pain； Nursing strategy； Emergency； Retrospective analysis 　　First-author’s address：Fujian Provincial Geriatric Hospital，Teaching Hospital of Fujian Medical University，Fuzhou 350001，China 　　急性胸痛是急诊科患者常见的就诊症状，其病因涉及体内多个系统，包括心血管、呼吸、消化、肌肉骨骼肌及神经系统等，根据其危险程度可分为致命性胸痛及非致命性胸痛，其中造成致命性胸痛的主要疾病包括急性冠脉综合征、肺栓塞、主动脉夹层、心包填塞及张力性气胸等，其预后差，死亡率高[1-2]。早期识别致命性胸痛并采取有效的?o理措施及治疗手段可明显降低死亡率，改善患者远期预后[3]。近年来，随着我国医疗卫生事业的发展，传统的护理模式难以满足新时期发展的要求。优质护理服务是近年来兴起的护理新模式，它是护理人员在自身的临床护理经验的基础上，结合本专科前沿的护理理论知识，同时注重患者