危机管理模式对急诊胸痛患者急救护理中并发症发生率的改善探讨 |
| 徐沙沙 |
| 上海健康医学院附属嘉定区中心医院，上海，201800 |
摘要：目的 探讨基于临床急诊胸痛者，急救护理中开展基于危机管理模式，剖析其作用价值。方法 遴选近 3 年（2022 年 3 月-2025 年 3 月）我院诊治的 90 例急诊胸痛者，经由随机数字表法分组：对照组、观察组，各含 45 例，对应施展常规急救干预、急救护理中开展基于危机管理模式。结果 分组间的并发症事件例数统计，显示观察组更少（P<0.05）。观察组的急诊停留时间、抢救时间统计数据均更短（P<0.05）。分组疼痛状况评估事宜比较，在干预后观察组内胸痛患者的重症监护疼痛观察工具各维度值均更低（P<0.05）。分组健康状态实施评估，得出在干预后观察组内患者的自测健康量表中心理、生理、社会适应能力维度值均更高（P<0.05）。结论 基于临床急诊胸痛者，急救护理中开展基于危机管理模式，可帮助改善并发症发生率，缩短急诊停留时间、抢救时间，缓解疼痛状况，促进身心健康。
关健词：急诊胸痛；急救护理；危机管理模式；并发症
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Exploration of the crisis management model to improve the incidence of complications in emergency care for patients with chest pain |
ShaSha Xu
Shanghai Jiaotong University School of Medicine Affiliated Jiading Central Hospital，Shanghai ，201800 , China
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Abstract：Objective To explore the implementation of crisis management mode in the pre-hospital emergency care of patients with clinical chest pain and analyze its value.Methods Ninety patients with emergency chest pain treated in our hospital in the past three years (March 2022 - March 2025) were, and randomly divided into control group and observation group, each containing 45 cases, corresponding to the implementation of routine emergency intervention and the development of crisis management mode in emergency.Results The number of complications between groups was counted, indicating that the observation group had fewer cases (P < 0.05). The statistical data the emergency stay time and rescue time of the observation group were both shorter (P < 0.05). Comparison of the matters of group pain assessment showed that the values each dimension of the intensive care pain observation tool in patients with chest pain in the observation group were lower after the intervention (P < 0.05). The implementation of assessment in groups showed that the values of the psychological, physiological and social adaptability dimensions of the self-test health scale in patients in the observation group were higher after the intervention ( < 0.05).Conclusion For clinical emergency patients with chest pain, the implementation of a crisis management model in pre-hospital emergency care can help improve the incidence of complications, shorten the of emergency stay and rescue time, relieve pain, and promote physical and mental health.
Keywords : emergency chest pain; emergency nursing; crisis management model; complications
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