胸痛中心一体化信息管理模式在STEMI患者院前急救中的应用

陈文娟; 丁亚娣; 王雅丹; 谢松娟; 唐欧杉

doi:10.16766/j.cnki.issn.1674-4152.004022

胸痛中心一体化信息管理模式在STEMI患者院前急救中的应用

doi: 10.16766/j.cnki.issn.1674-4152.004022

1.
绍兴第二医院医共体总院急诊科，浙江绍兴 312000
2.
绍兴第二医院医共体总院护理部
3.
绍兴第二医院医共体王坛分院门急诊，浙江绍兴 312000
4.
绍兴第二医院医共体总院心血管内科

基金项目:

浙江省中医药科技计划项目 2023ZL734

详细信息

通讯作者:
陈文娟，E-mail：cwjsx1152@163.com

中图分类号: R542.22
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- 被引次数: 0
出版历程
- 收稿日期: 2024-05-22
- 网络出版日期: 2025-08-14

The application of integrated information management model for chest pain center in pre hospital emergency treatment of STEMI patients

1.
Emergency Department, Shaoxing Second Hospital Medical Community General Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的分析胸痛中心一体化信息管理模式在ST段抬高型心肌梗死(STEMI)患者院前急救中的应用效果，探讨其对STEMI患者抢救效率、住院时间及护理满意度的影响。方法采用便利抽样法选取2020年5月—2023年10月绍兴第二医院医共体总院收治的182例STEMI患者作为研究对象，将2020年5月—2021年7月收治的92例STEMI患者作为对照组，2021年8月—2023年10月收治的90例STEMI患者作为观察组。对照组患者应用常规院前急救护理，观察组在对照组基础上应用基于胸痛中心一体化信息管理模式的院前急救护理。比较2组患者抢救效率[发病-到达本院大门(S2D)时间、发病-首次医疗接触(S2FMC)时间、首次医疗接触-首份心电图(FMC2ECG)时间、首次医疗接触-球囊扩张(FMC2B)时间、进门-球囊扩张(D2B)时间]及抢救成功率，统计2组患者住院时间、住院费用、护理满意度及医护人员认可度。结果观察组患者抢救效率各时间指标均短于对照组，且观察组患者抢救成功率为93.3%(84/90)，高于对照组的82.6%(76/92)，差异有统计学意义(P＜0.05)；观察组患者住院时间及住院费用均低于对照组(P＜0.05)；观察组护理满意度为96.4%(81/84)，高于对照组[86.8%(66/76), χ²=4.912，P=0.027]；观察组医护人员对管理模式认可度明显高于对照组(P＜0.05)。结论胸痛中心一体化信息管理模式能缩短STEMI患者院前急救时间及住院时间，提高患者抢救成功率，减轻患者经济负担并提高护理满意度。
- ST段抬高型心肌梗死 /
- 胸痛中心一体化 /
- 信息管理 /
- 院前急救
Abstract: Objective To analyze the application effect of the integrated information management model of chest pain center in pre hospital emergency treatment of ST segment elevation myocardial infarction (STEMI) patients, and explore its impact on the rescue efficiency, hospitalization time, and nursing satisfaction of STEMI patients. Methods Convenience sampling was used to select 182 STEMI patients admitted to the Medical Community General Hospital of Shaoxing Second Hospital from May 2020 to October 2023. The 92 STEMI patients admitted from May 2020 to July 2021 were set as the control group, and the 90 STEMI patients admitted from August 2021 to October 2023 were set as the observation group. The control group received routine pre hospital emergency care, while the observation group received pre hospital emergency care based on the integrated information management model of the chest pain center in addition to the control group. The rescue efficiency and success rate of two groups of patients [onset arrival time at the hospital gate (S2D), onset first medical contact time (S2FMC), first medical contact first electrocardiogram (FMC2ECG), first medical contact balloon dilation time (FMC2B), entry balloon dilation time (D2B)] were compared, and the length of hospital stay, hospitalization costs, and the nursing satisfaction of two groups of patients and the recognition of medical staff were calculated. Results The rescue efficiency and time indicators of the observation group were shorter than those of the control group, and the success rate of rescue in the observation group was 93.3% (84/90), higher than 82.6% (76/92) in the control group, with statistical significance (P < 0.05). The length of hospital stay and hospitalization expenses of the observation group were lower than those of the control group (P < 0.05). The nursing satisfaction rate of the observation group was 96.4% (81/84), which was higher than that of the control group [86.8% (66/76), χ²=4.912, P=0.027]. The recognition of management mode by medical staff in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion The integrated information management model of chest pain center can shorten the pre hospital emergency and hospitalization time of STEMI patients, improve the success rate of patient rescue, reduce the economic burden of patients, and improve nursing satisfaction.
- ST segment elevation myocardial infarction /
- Integrated chest pain center /
- Information management /
- Pre hospital first aid

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图 1 功能模块

Figure 1. Functional modules

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图 2 胸痛中心一体化信息管理急救流程

Figure 2. Integrated information management emergency process of chest pain center

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表 1 2组STEMI患者一般资料比较

Table 1. Comparison of general information between two groups of STEMI patients

组别	例数	性别[例(%)]		年龄(x±s，岁)	吸烟史[例(%)]		基础疾病[例(%)]				梗死部位[例(%)]
组别	例数	男性	女性	年龄(x±s，岁)	有	无	1种	2种	≥3种	无	前壁	下壁	其他
对照组	92	57(62.0)	35(38.0)	59.31±5.42	44(47.8)	48(52.2)	26(28.3)	20(21.7)	18(19.6)	28(30.4)	60(65.2)	22(23.9)	10(10.9)
观察组	90	58(64.4)	32(35.6)	58.78±6.06	40(44.4)	50(55.6)	29(32.2)	22(24.4)	15(16.7)	24(26.7)	61(67.8)	21(23.3)	8(8.9)
统计量		0.121^a		0.622^b	0.209^a		1.127^a				0.232^a
P值		0.728		0.535	0.647		0.770				0.891
注：^a为χ²值，^b为t值。

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表 2 2组STEMI患者抢救时效比较(x±s，min)

Table 2. Comparison of rescue time between two groups of STEMI patients(x±s, min)

组别	例数	S2D	S2FMC	FMC2ECG	FMC2B	D2B
对照组	92	112.83±13.43	98.46±6.87	4.36±0.62	80.81±5.66	75.42±4.82
观察组	90	98.29±9.16	90.54±5.29	2.82±0.41	77.23±4.17	70.16±3.40
t值		8.514	8.701	19.720	4.849	8.490
P值		＜0.001	＜0.001	＜0.001	＜0.001	＜0.001

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表 3 2组STEMI患者住院时间、住院费用比较(x±s)

Table 3. Comparison of hospitalization time and hospitalization expenses between two groups of STEMI patients(x±s)

组别	例数	住院时间(d)	住院费用(万元)
对照组	76	7.46±1.28	5.45±0.94
观察组	84	6.57±0.82	4.11±0.68
t值		5.286	10.400
P值		＜0.001	＜0.001

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表 4 2组STEMI患者护理满意度比较[例(%)]

Table 4. Comparison of nursing satisfaction between two groups of STEMI patients[cases(%)]

组别	例数	非常满意	满意	一般	不满意	护理满意度
对照组	76	41(53.9)	25(32.9)	7(9.2)	3(3.9)	66(86.8)
观察组	84	62(73.8)	19(22.6)	3(3.6)	0	81(96.4)
注：2组护理满意度比较，χ²=4.912，P=0.027。

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