Objective To explore the application effect of locating the asset emergency nursing mode in the rescue of patients with acute aortic dissection. Methods A retrospective analysis was performed on the clinical data of 200 patients with acute aortic dissection in the hospital between January 2022 and December 2023. According to implementation time of locating the asset emergency nursing mode, patients were divided into routine group （n=120, before January 2023, routine emergency nursing） and experimental group （n=80, after January 2023, locating the asset emergency nursing mode）. The rescue success rate, rescue efficiency indexes, prognosis and satisfaction of patients and their family members were compared between the two groups. Results The rescue success rate in experimental group was higher than that in routine group （93.75% vs 84.17%）. The confirming time of reception, establishment time of blood collection and access, total transport time and total rescue time in experimental group were shorter than those in routine group, mortality rate and disability rate were lower than those in routine group （8.75% vs 19.17%, 1.25% vs 7.50%）. The satisfaction of patients and their family members in experimental group was higher than that in routine group （85.00% vs 71.67%）. Conclusion The application effect of locating the asset emergency nursing mode is good in the rescue of patients with acute aortic dissection, which can improve rescue success rate, rescue efficiency and prognosis, reduce the incidence of adverse events, improve doctors evaluation and satisfaction of patients and their family members.
Key words
locating the asset emergency nursing mode /
acute aortic dissection /
rescue
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] LI R, PRASTEIN D.Low socioeconomic status is associated with higher in-hospital mortality in stanford type a aortic dissection repair: a population study of national inpatient sample from 2015 to 2020[J]. J Surg Res, 2024, 300: 409-415.
[2] 中国医师协会心血管外科分会大血管外科专业委员会. 急性主动脉综合征诊断与治疗规范中国专家共识(2021版)[J]. 中华胸心血管外科杂志, 2021, 37(5): 257-269.
[3] 方方, 周田田, 林玉博, 等. 基于团队资源管理模式建立主动脉夹层绿色通道的实践与效果评价[J]. 解放军护理杂志, 2019, 36(11): 79-82.
[4] HARTLEY P, OO A, ADAMS B.Type-A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection[J]. J Card Surg, 2022, 37(5): 1398-1401.
[5] XIA W, SHI X, CHEN Q, et al.Optimizing processes of care and time to diagnosis in acute aortic dissection patients in a chest pain center by implementing a multidisciplinary cooperative first aid mode - A quality improvement report[J]. Intensive Crit Care Nurs, 2024, 84: 103765.
[6] 徐伟, 陈晓莉, 林文风, 等. 急性主动脉夹层患者急诊目标血压管理的循证实践[J]. 护理学杂志, 2022, 37(7): 90-94.
[7] 姜有金, 李娟, 张正方, 等. 急诊快速诊断不典型急性主动脉夹层的临床结果分析[J]. 中国全科医学, 2020, 23(21): 2714-2718.
[8] 徐伟, 米钰, 陈晓莉, 等. 急性主动脉夹层患者院内急救护理方案的构建[J]. 中华护理杂志, 2023, 58(11): 1322-1329.
[9] 王龙娇, 屈小静. 急诊危重症患者实施整体性急诊急救护理的临床价值[J]. 山西医药杂志, 2020, 49(17): 2400-2401.
[10] BUCZKOWSKI P, PUSLECKI M, LIGOWSKI M, et al.Emergency endovascular interventions on descending thoracic aorta: a single-center experience[J]. Emerg Med Int, 2023, 2023: 6600035.
[11] 刘云, 孙静芳, 马萍. 外周血血细胞参数在急性主动脉夹层与急性心肌梗死鉴别中的价值[J]. 现代检验医学杂志, 2021, 36(1): 132-135.
[12] 肖长波, 喻红霞, 张力, 等. 急性Stanford A型主动脉夹层患者术前死亡风险因素分析及预测模型构建[J]. 新乡医学院学报, 2022, 39(5): 424-428.
[13] 牛记军, 唐新宇. 急性主动脉夹层急救急诊早期诊断策略探讨[J]. 中国药物与临床, 2020, 20(7): 1136-1138.
[14] KE C, WU H, XI M, et al.Clinical features and risk factors of postoperative in-hospital mortality following surgical repair of Stanford type A acute aortic dissection[J]. BMC Cardiovasc Disord, 2021, 21(1): 392.
[15] 杨明月. "定人定位"急救模式在脑肿瘤相关性癫痫患者抢救中的应用[J]. 国际生物医学工程杂志, 2022, 45(2): 152-156.
[16] 鲁玲玲, 杨丽娟. 急救护理中分工定位抢救配合的应用效果与价值[J]. 国际护理学杂志, 2022, 41(5): 776-779.
[17] 尹梅英, 王喜东, 陈燕. "3P模式"护理方案在急性主动脉夹层患者抢救中的应用[J]. 齐鲁护理杂志, 2023, 29(9): 139-141.
[18] 陈璟, 何军. 主动脉夹层患者院内死亡危险因素18年回顾性分析[J]. 中国全科医学, 2020, 23(32): 4091-4095.
PDF(1756 KB)
