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大连市第五人民医院心内一科
纸质出版日期:2022,
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于佳. 以信息技术为基础的胸痛中心在ST段抬高型心肌梗死患者护理中的应用效果[J]. 保健医学研究与实践, 2022,19(10):111-114.
Yu Jia. Effect of information technology-based chest pain center in the care of patients with ST-elevation myocardial infarction[J]. Health Medicine Research and Practice, 2022,19(10):111-114.
目的 探讨以信息技术为基础的胸痛中心在ST段抬高型心肌梗死患者护理中的应用效果
以期为临床相关治疗提供参考。方法 选择2018年10月—2020年10月在大连市第五人民医院胸痛中心就诊的90例ST段抬高型心肌梗死患者为研究对象。将2018年10月—2019年10月就诊的研究对象设为对照组(n=47)
2019年11月—2020年10月就诊的研究对象设为干预组(n=43)。对照组患者接受常规护理措施。干预组患者在对照组基础上进行以信息技术为基础的胸痛中心干预。比较2组患者首份医疗接触至心电图完成时间(FMC2ECG)、入门球囊扩张时间(D2B)、住院时间。比较2组患者抢救成功率和6个月以内的再入院率。采用生活质量简明调查表(SF-36)评估2组患者干预前后(出院时)生活质量。结果 干预组患者FMC2ECG、D2B及住院时间短于对照组
差异均有统计学意义(P<0.05)。干预组患者抢救成功率高于对照组
差异有统计学意义(P<0.05)。干预组患者再入院率低于对照组
差异有统计学意义(P<0.05)。干预前
2组患者SF-36中心理健康、生理健康、躯体活动、情感职能、社会关系及活力评分比较
差异无统计学意义(P>0.05)。干预后
2组患者SF-36中心理健康、生理健康、躯体活动、情感职能、社会关系及活力评分均高于干预前
且干预组高于对照组
差异均有统计学意义(P<0.05)。结论 以信息技术为基础的胸痛中心在ST段抬高型心肌梗死患者护理中的应用效果显著
能缩短FMC2ECG、D2B及住院时间
提高抢救成功率及生活质量
降低6个月以内的再入院率
值得临床推广应用。
Objective To explore the effect of the information technology-based chest pain center in the care of patients with ST-elevation myocardial infarction(STEMI)
so as to provide a reference for clinical treatment. Methods Ninety patients with STEMI who visited the Chest Pain Center of the Fifth People’s Hospital of Dalian from October 2018 to October 2020 were selected as the study subjects. Study subjects who attended the hospital in October 2018-October 2019 were selected in the control group(n=47) and those who attended the hospital in November 2019-October 2020 in the intervention group(n=43). Patients in the control group received routine care and patients in the intervention group received information technology-based chest pain center intervention based on the control group. The First Medical Contact-to-ECG(FMC2ECG) time
door-to-balloon(D2B) time
and length of hospital stay were compared between the 2 groups. The success rate of rescue and readmission rate within 6 months were compared between the 2 groups. Quality of life was assessed before and after intervention(at discharge) using the Short Form-36(SF-36). Results FMC2ECG
D2B
and hospital stay in the intervention group were significantly shorter than those in the control group(P<0.05). The success rate of rescue in the intervention group was significantly higher than that in the control group(P<0.05). The readmission rate of patients in the intervention group was significantly lower than that in the control group(P<0.05). Before the intervention
there was no significant difference in mental health
physical health
physical activity
emotional role
social relationship
and vitality scores in the SF-36 between the two groups(P>0.05). After the intervention
the scores of mental health
physical health
physical activity
emotional function
social relationship
and vitality in the SF-36 in the two groups were significantly higher than those before the intervention
with the intervention group higher than the control group(P<0.05). Conclusion The application of an information technology-based chest pain center in patients with STEMI is effective
which can shorten FMC2ECG
D2B
and hospital stay
improve the success rate of rescue and quality of life
and reduce the readmission rate within 6 months. These benefits justify a wider application clinically.
以信息技术为基础的胸痛中心ST段抬高型心肌梗死生活质量
Information technology-based chest pain centerST-elevation myocardial infarctionQuality of life
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