主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (10): 1558-1562.doi: 10.3969/j.issn.1672-1756.2021.10.025

• 护理安全 • 上一篇    下一篇

新冠肺炎疫情防控期间医疗团队资源管理救护模式在急性心肌梗死患者中的应用

朱雪清 葛杨 王丽婷 李萌 武涛   

  1. 中国医学科学院北京协和医院内科心导管室,100730 北京市
  • 出版日期:2021-10-15 发布日期:2021-10-15
  • 作者简介:朱雪清,本科,副主任护师,护士长,E-mail:zhuxueqing1014@aliyun.com

Application of medical Team Resource Management and rescue model in the treatment of patients with Acute Myocardial Infarction under epidemic prevention and control

ZHU Xueqing, GE Yang, WANG Liting, LI Meng, WU Tao   

  1. Cardiac Catheterization Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China
  • Online:2021-10-15 Published:2021-10-15

摘要: 目的:新冠肺炎疫情防控期间对急性心肌梗死患者实施医疗团队资源管理救护模式并评价其效果。方法:对2020年1月至2021年1月在北京某三级甲等医院救治的125例急性心肌梗死患者采用医疗团队资源管理救护模式进行救治,并评价急性心肌梗死患者急诊滞留时间、抢救成功率、从患者到急诊就诊至球囊扩张完成(Door to Balloon)所需要的时间(简称D2B时间)及医护人员的安全态度。结果:新冠肺炎疫情防控期间,急性心肌梗死患者急诊滞留时间、D2B时间短于疫情前(P<0.05);医护人员对患者安全的认知态度处于较高水平(P<0.05);抢救成功率与疫情前比较,差异无统计学意义(P>0.05)。结论:医疗团队资源管理救护模式在新冠肺炎疫情防控期间急性心肌梗死患者的救治中发挥了重要的作用,不仅提高了救护品质,也保证了患者安全。

关键词: 新型冠状病毒肺炎;团队资源管理;急性心肌梗死;绿色通道

Abstract: Objective: During the COVID-19 epidemic, try the medical team resource management rescue model for patients with emergency myocardial infarction and evaluate its effect. Methods: From January 2020 to January 2021, a total of 125 patients with acute myocardial infarction admitted in a tertiary hospital in Beijing were managed by the Team Resource Management model. Outcomes in this study included duration of emergency stay, success rate of rescue, time from the first Door to Balloon (Time from the patient entering the emergency department to the completion of balloon dilatation), and the medical staff?'s attitude towards patients' safety. Results: During the epidemic period, the duration of emergency stay and time of D2B of patients with acute myocardial infarction were not prolonged. The medical staff's attitude towards to patient safety was very positive. There was no significant difference in rescue success rate. Conclusion: The medical team resource management and rescue model plays an important role in the treatment of patients with acute myocardial infarction during the epidemic period. The model can improve the quality of rescue of patients and ensure patients safety during the epidemic period.

Key words: COVID-19; Team Resource Management; Acute Myocardial Infarction; greenway

中图分类号: 

  • R47