突发危重症病例的护理宣教在院前急救中的应用研究

Application study on nursing education of sudden critical illness cases in the pre-hospital care

目的探讨突发危重症病例的护理宣教在院前急救中的应用价值。方法选取我院2012年1月至2014年5月收治的160例心脑血管急症患者作为研究对象,其中80例患者是具有完整健康档案并接受过系统性急救知识宣教的,将其归为观察组;另80例常规接受院前急救护理,但未接受过急救知识宣教的患者作为对照组。对比2组患者急症发作时的自救情况、医院抢救结果、患者及其家属对于院前急救相关知识知晓程度。结果观察组患者及其家属正确自救率为70%,明显高于对照组,差异有统计学意义(P<0.01);观察组患者经医院抢救后,抢救成功率及病死率分别为92%,8%,对照组分别为72%、28%,观察组患者的抢救结果明显优于对照组,差异有统计学意义(P<0.01);观察组患者及其家属对于院前急救相关知识知晓率为96%,对照组为71%,观察组明显高于对照组,差异有统计学意义(P<0.01)。结论系统化急救知识宣教可显著提高突发危重症患者的急救知识知晓率,提高患者及其家属对于突发情况的应对能力,改善患者预后。

Objective To discuss the application value of nursing education of emergency critical illness cases in pre-hospital care.Methods One hundred and sixty cases of patients with cardiovascular and cerebrovascular diseases in our hospital from January 2012 to May 2014 were selected as the study objects.Among these patients,80 patients were with complete health records and received systematic knowledge of first aid education,and they were classified as the observation group;the other 80 cases of patients were classified as the control group and were treated by routine nursing care,but these patients were not treated with first aid knowledge education.Selfhelp,hospital rescue result,and patients＇ and their families＇ awareness level of the first aid related knowledge two groups were compared.Results The self-help rate of patients and their families of the observation group was70%,significantly higher than that of the control group（P0.01）;After hospital treatment,the success rate and death rate of the observation group were 92% and 8%,respectively;those of the control group were 73%and 28%,respectively.The rescue results of patients in observation group were significantly better than those of the control group（P0.01）;Awareness rate of relevant knowledge of pre-hospital care of patients and their families in observation group was 97%,and that of the control group was 71%.The awareness rate of observation group was significantly higher than that of the control group（P0.01）.Conclusion Systematic first aid knowledge education can significantly improve the awareness rate of emergency knowledge of patients with pre-hospital emergently critical illness and improve emergency response capacity of patients and their family.