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暴发性心肌炎患者急诊标准化急救流程的临床实践

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目的 探讨暴发性心肌炎患者急诊标准化急救流程的实施效果.方法 将急诊科就诊的疑似暴发性心肌炎患者80例,按照患者就诊时间顺序分为对照组40例和观察组40例.对照组按常规急救流程实施救治及护理,观察组按照科室构建的暴发性心肌炎标准化急救流程实施救治及护理.结果 对照组31例、观察组40例完成研究.观察组急诊预检分诊准确率显著高于对照组,确诊患者急诊候诊时间及实施前后急诊科停留时间显著短于对照组(均P<0.05);实施标准化急救流程后急诊医护人员安全态度的安全氛围、管理感知维度得分显著高于实施前(均P<0.05).结论 暴发性心肌炎患者急诊标准化急救流程的建立与实施,有利于早期筛查识别暴发性心肌炎患者,缩短急诊候诊时间及停留时间,可提高患者救治效率.
Clinical practice of the standardized emergency first aid process for fulminant myo-carditis patients
Objective To explore the application effect of emergency standardized first aid process for patients with fulminant myocarditis(FM)in emergency department.Methods A total of 80 patients suspected of FM treated in the emergency department were divided into 2 groups of 40 cases each according to the time of admission.The control group was subjected to traditional first aid process,while the ob-servation group was subjected to a standardized first aid process for FM.Results A total of 31 patients in the control group and 40 patients in the observation group completed the study.The FM triage accuracy in the observation group was significantly higher than that in the control group,and the emergency room waiting time and the length of stay in the emergency room among patients later confirmed FM in the observation group were significantly shorter than those in the control group(all P<0.05).After the implementation of the standardized first aid process,the scores of safety atmosphere and management perception dimensions in the safety attitude of emergency medical staff were higher than those before the implementation(all P<0.05).Conclusion Establishment and implementation of the stan-dardized of emergency first aid process,is helpful for early screening and identifying FM patients,shortens the waiting time and stay time in the emergency department,and improve the efficiency of patient treatment.

fulminant myocarditisstandardized processesemergency treatment processtriagewarning and screeningemergency treatmentwaiting timeattitude toward safety

李慧羚、李莹、柯键、江敏

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华中科技大学同济医学院附属同济医院急诊科(湖北武汉,430030)

暴发性心肌炎 标准化流程 急救流程 预检分诊 预警筛查 急诊救治 候诊时间 安全态度

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(4)
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