摘要
目的观察急性胸痛患者院前急救的护理措施探讨分析。方法将在我院近期(2019年1月-2021年1月)收治急性胸痛患者总计60例,根据患者入院是否通过院前急救护理进行分组,其中通过院前急救的胸痛患者30例将其设置为研究组,而另30例则为通过患者本身自行入院或其家属直接送入医院急诊者即未通过院前急救护理则将其设置为对照组。比较两组患者急诊候诊时间、急诊护理处置时间、急诊检查等候时间、急诊抢救时间、住院治疗时间,抢救情况(胸痛缓解情况、并发症、死亡率),患者对护理的满意率。结果研究组患者在患者急诊候诊时间、急诊护理处置时间、急诊检查等候时间、急诊抢救时间、住院治疗时间均短于对照组,差异有统计学意义(P<0.05)。研究组患者胸痛缓解率高于对照组,而并发症与死亡率均低于对照组,差异有统计学意义(P<0.05)。研究组患者对护理的总满意率高于对照组,差异有统计学意义(P<0.05)。结论在急性胸痛患者,实施以院前急救的护理措施,可明显地缩短患者急诊候诊、急诊护理处置、急诊检查等候、急诊抢救、住院治疗时间,提高胸痛缓解率,降低并发症与死亡率,获得较高的护理满意率,效果理想。
Objective To observe the nursing measures of pre hospital first aid for patients with acute chest pain.Methods A total of 60 patients with acute chest pain in our hospital in the near future(from January 2019 to January 2021)were divided into two groups according to whether the patients were admitted to the hospital through pre hospital emergency care,of which 30 patients with chest pain through pre hospital emergency care were set as the study group,The other 30 patients who were admitted to the hospital by themselves or their families were directly sent to the hospital for emergency treatment,that is,those who did not pass the pre hospital emergency care were set as the control group.The emergency waiting time,emergency nursing disposal time,emergency examination waiting time,emergency rescue time,hospitalization time,rescue situation(chest pain relief,complications,mortality)and satisfaction rate of patients with nursing were compared between the two groups.Results The study group patients in the emergency waiting time,emergency nursing disposal time,emergency examination waiting time,emergency rescue time,hospitalization time were shorter than the control group,the difference was significant(P<0.05).The remission rate of chest pain in the study group was higher than that in the control group,while the complications and mortality in the study group were lower than those in the control group(P<0.05).The total satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion In patients with acute chest pain,the implementation of pre hospital first aid nursing measures can significantly shorten the time of emergency waiting,emergency nursing disposal,emergency examination waiting,emergency rescue and hospitalization,improve the chest pain relief rate,reduce complications and mortality,and obtain a higher nursing satisfaction rate with ideal effect.
作者
伍穗生
WU Suisheng(Guangzhou first people's Hospital,Guangzhou,Guangdong 510000)
出处
《智慧健康》
2022年第4期160-162,169,共4页
Smart Healthcare
关键词
急性胸痛
院前急救
急救时间
护理措施
Acute chest pain
Pre hospital first aid
First aid time
Nursing measures