脑肿瘤患者突发意识障碍的急救护理

Emergency nursing for cerebroma with sudden loss of consciousness

目的探讨脑肿瘤患者突发意识障碍的急救护理方法及效果。方法选取2014年1月至2015年10月重庆市开县人民医院收治的40例脑肿瘤并突发意识障碍的患者,其中25例患者采用优化急救护理流程(观察组),15例患者采用常规急救护理(对照组),比较两组患者的急救效率和急救效果。结果观察组患者的分诊评估时间、建立静脉通道时间、静脉用药时间和抢救时间均短于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者住院时间短于对照组患者,出院时的美国国立卫生研究院脑卒中量表(NIHSS)评分低于对照组患者,改良Barthel(MBI)指数评分高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者的分诊正确率高于对照组患者,死亡率低于对照组患者,差异均无统计学意义(均P>0.05)。结论优化急救护理流程能够提高脑肿瘤突发意识障碍患者的抢救效率,改善患者的抢救效果,降低死亡率。

Objective To explore the efficacy of emergency nursing for sudden loss of consciousness in cerebroma patients. Methods Forty cerebroma patients with sudden loss of consciousness treated at People’s Hospital of Kai County were selected from January 2014 to October 2015,including 25 patients treated with emergency nursing as the observation group and 15 patients treated with routine emergency nursing as the control group. Emergency efficiency and efficacy were compared between the two groups. Results Time of triage assessment,venous access establishment,intravenous medication administration and rescue in the observation group was shorter than those in the control group（ all P 〈 0. 05）. Hospital stay in the observation group was shorter than those in the control group. NIH stroke scale（ NIHSS） score was lower in the observation group than in the control group and modified Barthel index（ MBI） score were higher in the observation group than in the control group at discharge（ all P 〈 0. 05）. The correct triage rate in the observation group was higher than in the control group and the mortality rate was lower than that in the control group（ all P 〉 0. 05）. Conclusion Optimization emergency nursing process can improve rescue efficiency and rescue effectiveness and reduce the mortality in cerebroma patients with sudden loss of consciousness.