Blank Fidela S J, Smithline Howard A
Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts, USA.
Clin Nurs Res. 2002 Nov;11(4):403-16. doi: 10.1177/105477302237453.
Prehospital delay is a major problem in the management of patients with acute cardiac ischemia. The authors created a patient teaching program consisting of an educational video and written instructions designed to reduce prehospital delays in patients with chest pain. Patients who received standard discharge instructions served as the control group, whereas those who received the new patient teaching in addition to standard discharge instructions served as the intervention group. Of the 500 enrolled, 19% were rehospitalized within 1 year. Analysis of rehospitalizations showed no significant difference between the two groups on the three outcome variables: percentage who presented within thefirst hour of pain, use of ambulance, and time from anginal onset to emergency department arrival. In a comparison of the index hospitalization to the rehospitalization, there was a significant increase in the use of ambulances for the intervention group, p = .03, but not for the control group.
院前延误是急性心肌缺血患者治疗中的一个主要问题。作者创建了一个患者教育项目，包括一个教育视频和书面说明，旨在减少胸痛患者的院前延误。接受标准出院指导的患者作为对照组，而除标准出院指导外还接受新患者教育的患者作为干预组。在纳入的500名患者中，19%在1年内再次住院。对再次住院情况的分析显示，两组在三个结果变量上没有显著差异：疼痛发作后第一小时内就诊的百分比、救护车的使用情况以及从心绞痛发作到急诊科就诊的时间。在将首次住院与再次住院进行比较时，干预组使用救护车的情况显著增加，p = 0.03，而对照组没有。
