优化急诊护理管理流程在慢性肺源性心脏病并发心力衰竭中的应用

Application of Optimization of Emergency Nursing Management Process in Chronic Pulmonary Heart Disease Complicated with Heart Failure

目的:分析优化急诊护理管理流程在慢性肺源性心脏病并发心力衰竭(CPHD-HF)中的应用。方法:选取2023年1-12月厦门大学附属第一医院杏林分院收治的103例CPHD-HF患者为研究对象。将2023年1-6月收治的患者作为对照组(n=51),2023年7-12月收治的患者作为观察组(n=52)。对照组采用常规急诊护理流程,观察组采用优化急诊护理管理流程。比较两组抢救效率,护理前后心肺功能指标、心理状况及护理质量。结果:观察组分诊评估耗时、抢救准备耗时、接诊耗时、入院至抢救时间均短于对照组,差异有统计学意义(P<0.05)。护理后,观察组第1秒用力呼气容积(FEV1)、左心室射血分数(LVEF)均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。观察组服务态度、护理流程、基础护理、心理干预及安全防护评分均高于对照组,差异有统计学意义(P<0.05)。结论:在抢救CPHD-HF患者时,采用优化急诊护理管理流程能极大地提高抢救效率,以及改善患者疗效及心理状况。

Objective:To analyze the application of optimization of emergency nursing management process in chronic pulmonary heart disease complicated with heart failure(CPHD-HF).Method:A total of 103 patients with CPHD-HF admitted to Xinglin Branch,the First Affiliated Hospital of Xiamen University from January to December 2023 were selected as the study objects.Patients admitted from January to June 2023 were selected as the control group(n=51),and patients admitted from July to December 2023 were selected as the observation group(n=52).The control group adopted the routine emergency nursing process,and the observation group adopted the optimized emergency nursing management process.The rescue efficiency,cardiopulmonary function index,psychological status before and after nursing and nursing quality of the two groups were compared.Result:The triage evaluation time,rescue preparation time,reception time,admission to rescue time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After nursing,forced expiratory volume in the first second(FEV1)and left ventricular ejection fraction(LVEF)of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of service attitude,nursing process,basic nursing,psychological intervention and safety protection in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:In the rescue of patients with CPHD-HF,the optimization of emergency nursing management process can greatly improve the rescue efficiency,and improve the therapeutic effect and psychological status of patients.