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首页> 外文期刊>Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association >Effect of education on a chest pain mnemonic on door-to-ECG time.
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Effect of education on a chest pain mnemonic on door-to-ECG time.

机译：教育对上门心电图时间的胸痛助记符的影响。

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INTRODUCTION: Acute myocardial infarction (AMI) continues to contribute to both death and disability in both men and women. The first step in early intervention is an ECG. Atypically presenting patients, especially those who present by self-transport, are more likely to experience delays. The purpose of this study was to evaluate the effect of a new chest pain mnemonic (CPM) as a teaching tool for rapid recognition of AMI patients arriving by self-transport in ED triage in an effort to improve door-to-ECG (DTE) time. METHODS: This study is a longitudinal, quasi-experimental quantitative study. Instruction and evaluation of nurses' knowledge related to identification of AMI before and after instruction on the CPM education (intervention) were coordinated by the emergency clinical nurse specialist. The study sample for the educational intervention included 26 nurses (15% of total population) from 4 emergency departments. Ad hoc queries of the National Registry for Myocardial Infarction database for patients arriving by self-transport to the emergency department were done to examine DTE before and after intervention. The pretests and post-tests of the nurses were analyzed with a paired t test, and the pre- and post-intervention DTE times were analyzed by log-linear modeling. RESULTS: Evaluation of nurses' knowledge before and after CPM education indicated an improvement in DTE time, although it was not statistically significant. There was a significant improvement in DTE time for 2 hospitals that was somewhat negated in the aggregate data. There was a noted trend that showed an advantage in DTE time associated with male patients. DISCUSSION: Inclusion of tools such as the CPM in education programs for emergency nurses improved rapid recognition of AMI patients presenting via self-transport to the emergency department. Attention to gender differences in patient presentation should be included in future CPM education, and tools to assist nurses in the early recognition of AMI need to be developed. Investigation regarding intra-hospital differences is warranted.
机译：简介：急性心肌梗塞（AMI）继续导致男女死亡和致残。早期干预的第一步是心电图。非典型就诊的患者，特别是那些通过自我运输就诊的患者，更容易出现延误。这项研究的目的是评估一种新的胸痛助记符（CPM）作为快速识别通过ED分诊自我转运到达的AMI患者的教学工具的效果，以改善门到心电图（DTE）时间。方法：本研究是一项纵向的准实验定量研究。急诊临床护士专家负责协调和评估与CPM教育（干预）相关的护士在识别AMI方面的知识。教育干预的研究样本包括来自4个急诊科的26名护士（占总人口的15％）。通过自行运输到达急诊科的患者，对国家心肌梗死登记数据库进行了专门查询，以检查干预前后的DTE。护士的前测和后测采用配对t检验进行分析，干预前后的DTE时间通过对数线性模型进行分析。结果：CPM教育前后对护士知识的评估表明，DTE时间有所改善，尽管在统计学上并不显着。 2家医院的DTE时间有了显着改善，但总数据中却略有减少。有一个明显的趋势表明，与男性患者相关的DTE时间有优势。讨论：在应急护士的教育计划中包含诸如CPM之类的工具，可以提高对通过自我运输到急诊科就诊的AMI患者的快速认识。将来的CPM教育中应包括对患者陈述中性别差异的注意，并且需要开发可帮助护士及早识别AMI的工具。有关院内差异的调查是必要的。

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