急诊危重患者抢救中应用全程护理服务的效果探析

Effect of application of the whole course nursing service in emergency treatment of critically ill patients

目的研究并探讨急诊危重患者抢救中应用全程护理服务的效果。方法选取2013年1月至2015年12月实施急诊抢救的急诊危重患者100例作为研究的对象,采取随机数字表法将患者分为对照组和观察组,每组50例。对照组实施常规急诊抢救护理,观察组实施全程护理。比较两组患者的抢救成功率、抢救时间,再对两组患者家属的护理满意度、焦虑评分和疾病不确定感评分的变化情况进行比较。结果观察组的抢救成功率为92%,较对照组的76%明显更高(P<0.05),且观察组的抢救时间较对照组明显缩短(P<0.05)。干预后,观察组患者家属的焦虑评分、疾病不确定感评分较对照组均明显降低(P<0.05)。观察组家属的护理满意度为94%,较对照组的78%明显更高(P<0.05)。结论在急诊危重患者的抢救过程中实施全程护理,可有效确保患者抢救的顺利进行,提高抢救成功率,同时,还能有效缓解患者家属的不良情绪,提高患者家属对护理服务的满意度。

Objective To study and discuss the effect of the whole course nursing service in emergency treatment of critically ill patients in emergency department. Methods From January2013 to December 2015, selected 100 cases of emergency rescue of critically ill patients in emergency department as the research object, the patients were divided into control group and observation group, 50 cases in each group. The control group was given routine emergency treatment, and the observation group was given the whole course nursing. Compared the two groups of patients with the success rate of rescue, rescue time, and then on the family of the two groups of nursing satisfaction, anxiety score and uncertainty of illness scores were compared. Results The success rate of the observation group was 92%, compared with 76% in the control group was significantly higher（ P〈0.05）, and the observation group was significantly shorter than the control group （P 〈 0. 05 ）. The scores of anxiety and uncertainty of illness in the family of the observation group were significantly lower than those in the control group （P〈0.05）. The nursing satisfaction rate of the observation group was 94%, which was significantly higher than that of the control group （P〈0.05）. Conclusions The implementation of the whole course nursing in the rescue process of emergency patients, can effectively ensure the smooth of patients in emergency, and improve the success rate of rescue, meanwhile, can effectively alleviate the negative emotions of the family members of patients, and improve satisfaction of family members of patients to nursing service.