浅谈预见性护理在急诊科脑卒中患者的应用

Analysis of Application of Predictive Nursing in Stroke Patients in the Department of Emergency

目的分析急诊科脑卒中患者护理中应用预见性护理的价值,观察应用预见性护理后的抢救效果。方法方便选择该院急诊科2013年5月—2016年10月收治的脑卒中患者136例,随机抽取68作为实验组,给予预见性护理,剩余68例作为对照组,给予常规护理,观察两组患者治疗期间并发症发生情况,患者出院前,以该科室自制的问卷调查两组患者对护理满意度。结果经护理后,实验组并发症发生率10.3%,对照组并发症发生率23.5%,实验组低于对照组,差异有统计学意义(P<0.05)。实验组服务态度(96.8±2.4)分、护理操作(95.7±2.6)分、沟通技巧(93.8±3.2)分、病房护理(95.9±2.1)分,对照组服务态度(91.2±2.2)分、护理操作(89.6±2.8)分、沟通技巧(87.2±3.1)分、病房护理(90.4±2.5)分,实验组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论急诊科脑卒中患者护理中,应用预见性护理后,可促使护理人员主动预防并发症,减少并发症发生,提升救治效果,降低病死率,促进患者痊愈,改善患者预后情况,提高患者对护理的满意程度,具有非常高的临床应用价值。

Objective To analyze the application value of predictive nursing in stroke patients in the department of emergency and observe the rescue effect after the application of predictive nursing. Methods Convenient selection 136 cases of stroke patients admitted and treated in the department of emergency in our hospital from May 2013 to October 2016 were selected and randomly divided into two groups with 68 cases in each, the experimental group were given the predictive nursing, while the control group were given the routine nursing, and the occurrence of complications during the treatment period was observed, and before the patients were discharged, the nursing satisfactory degree of the two groups was surveyed by the self-made questionnaires. Results After nursing, the incidence rate of complications in the experimental group was lower than that in the control group,（10.3% vs 23.5%）, and the difference was obvious with statistical significance（P〈0.05）, and the service attitude score, nursing operation score, communication skill score and ward nursing score in the experimental group were respectively（96.8±2.4）scores,（95.7±2.6）scores,（93.8±3.2）scores,（95.9±2.1）scores and（91.2±2.2）scores,（89.6±2.8）scores,（87.2±3.1）scores,（90.4±2.5）scores in the control group, and the satisfactory degree in the experimental group was higher than that in the control group, and the difference was statistically significant（P〈0.05.05）. Conclusion The application of predictive nursing in the nursing of stroke patients in the department of emergency can promote the nursing staff to actively predict the complications, reduce the occurrence of complications,improve the treatment effect, reduce the morbidity, promote the cure of patients, improve the prognosis of patients and improve the satisfactory degree of patients to the nursing with extremely high clinical application value.