许梦林 李春华 汪听 柳群艳

[摘要]目的 探討胸痛患者院前急救安全核查表在院前急救中的应用效果。方法 选取2019年1月～2020年1月江西省上饶市人民医院急诊科收治的60例胸痛院前急救患者作为研究对象，选择历史对照方法分组，将2019年1～8月的30例胸痛患者设为对照组，将2019年9月～2020年1月的30例胸痛患者设为观察组。观察组使用胸痛患者院前急救安全核查表（由研究小组编制）优化急救流程，对照组采用常规急救法。两组患者均按照我院制定的院前急救护理措施进行急救。比较两组患者的抢救成功率、患者家属满意度和急救时间。结果 观察组的延续抢救成功率、患者家属总满意度高于对照组，急救时间短于对照组，差异有统计学意义（P<0.05）。结论 胸痛患者院前安全核查表的使用，可以提高延续抢救成功率，缩短院前急救时间，提高患者满意度，适用于胸痛患者的院前急救。

[关键词]胸痛;院前急救;安全核查表;院前转运

[中图分类号] R459.7          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0047-04

Development and application of pre-hospital emergency safety checklist for patients with chest pain

XU Meng-lin   LI Chun-hua   WANG Ting   LIU Qun-yan

Department of Nursing， Shangrao People′s Hospital， Jiangxi Province， Shangrao   334000， China

[Abstract] Objective To explore the application effect of pre-hospital emergency safety checklist for patients with chest pain. Methods From January 2019 to January 2020， 60 pre-hospital emergency patients with chest pain admitted to the Department of Emergency of Shangrao People′s Hospital， Jiangxi Province were selected as the research objects. The historical control method was selected for grouping， a total of 30 patients with chest pain from January to August 2019 were selected as the control group， 30 patients with chest pain from September 2019 to January 2020 were set as the observation group. The observation group used pre-hospital emergency safety checklist for chest pain patients （compiled by the research group） to optimize the first aid process， while the control group adopted conventional first aid method. Both groups of patients were given first aid according to the pre-hospital emergency nursing measures formulated by our hospital. The success rate of rescue， satisfaction of patients' family members and emergency treatment time were compared between the two groups. Results In the observation group， the success rate of continuous rescue and the total satisfaction of the patients′ family members were higher than those of the control group， and the emergency treatment time was shorter than that of the control group， with statistically significant differences （P<0.05）. Conclusion The use of pre-hospital safety checklist can improve the success rate of continuing rescue， shorten the time of pre-hospital first aid， improve patient satisfaction， and is suitable for pre-hospital first aid.

[Key words] Chest pain; Pre-hospital first aid; Safety checklist; Pre-hospital transportation

在院前急救接诊过程中，急性胸痛是常见急症之一。急性高危胸痛的发病原因复杂，病情发展迅速多变，且临床表现不一，若不进行及时治疗，极容易诱发严重并发症，直接威胁到患者的生命健康安全[1-2]。争取宝贵时间和及时有效的救治直接关系到院前急救患者的预后[3]。目前我国急救管理模式不统一、医护人员对院前急救患者的病情判断在很大程度上依赖于医护人员个体的知识和经验，易造成院前患者的误诊或漏诊，同时也忽视了潜在危重病患者的发现[4]。这就亟需一个优化的表单来规范急救护理流程。近年来，核查表较多地应用在医疗临床中，使用清单管理能提高医护工作者的执行率，帮助医护人员在实际工作中梳理工作重点，细化操作流程[5-6]。……