摘要
目的 分析讨论基于FMEA模式的急性胸痛患者院前急救护理方案构建及应用效果。方法 采用类实验研究，选取2024年1月至2025年1月宁夏医科大学总医院急诊科符合纳入、排除标准的院前就诊急性胸痛患者100例为观察对象。根据急性胸痛患者院前急救护理方案不同，预期将患者分为对照组和干预组，各50例。对照组为2024年1月至6月期间急诊科院前就诊急性胸痛患者；干预组为2024年7月至12月期间急诊科院前就诊急性胸痛患者。比较两组护理效果。结果 干预组急救时间、分诊时间、急救停留时间、院前及院内确诊时间均短于对照组，心率指标均优于对照组，患者抢救成功率高于对照组，1周病死率低于对照组（P<0.05）。结论 对急性胸痛患者院前急救护理中开展基于FMEA模式的护理方案流程实施效果明显，值得广泛推广与应用。
关键词： FMEA模式；急性胸痛；院前急救；护理方案
Abstract
Objective To analyze and discuss the construction and application effect of pre hospital emergency nursing plan for acute chest pain patients based on FMEA model. Methods A quasi experimental study was conducted to select 100 pre hospital acute chest pain patients who met the inclusion and exclusion criteria in the Emergency Department of Ningxia Medical University General Hospital from February 2025 to October 2025 as the observation subjects. According to different pre hospital emergency care plans for patients with acute chest pain, it is expected that the patients will be divided into a control group and an intervention group, with 50 cases in each group. The control group consists of patients with acute chest pain who visited the emergency department before admission between January and June 2025; The intervention group consists of patients with acute chest pain who visited the emergency department before admission between July and December 2025. Compare the nursing effects of two groups. Results The intervention group had shorter first aid time, triage time, first aid stay time, pre hospital and in-hospital diagnosis time compared to the control group, and better heart rate indicators. The success rate of patient rescue was higher than that of the control group, and the 1-week mortality rate was lower than that of the control group (P<0.05). Conclusion The implementation effect of the nursing program process based on FMEA model in pre hospital emergency care for patients with acute chest pain is significant and worthy of wide promotion and application.
Key words： FMEA mode; Acute chest pain; Pre hospital emergency treatment; Nursing plan
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