心肺复苏及气管插管优秀的护理人员在急危重症患者急救护理中的价值

Value of cardiopulmonary resuscitation and tracheal intubation in emergency care

目的分析护理人员在急危重症患者急救护理中的价值。方法选取2014年4月～2017年4月于安康市中医医院进行急救的286例急危重症患者为研究对象,随机分为对照组和观察组。对照组接受普通急救护理人员的急救护理,观察组患者接受心脏复苏及气管插管水平优秀的护理人员的急救护理,比较2组患者的急救护理效果和质量。结果观察组患者的心肺复苏、恢复吸氧和气管插管时间均少于对照组（P〈0.05）,且观察组患者抢救时间明显短于对照组（P〈0.05）。观察组患者的抢救成功率、24 h存活率均显著高于对照组患者（P〈0.05）;观察组患者的不良事件发生率明显低于对照组（P〈0.05）。对急救护理和抢救技术满意的观察组患者均明显多于对照组（P〈0.05）,不满意的观察组患者明显少于对照组（P〈0.05）;2组患者中,对急救护理和抢救技术较满意的患者比例不具显著性差异。结论提高护理人员的心脏复苏及气管插管技术水平,可提高抢救成功率,减少不良事件的发生,提高抢救护理质量。应加强急诊科室急救护理人员的素质,提高心脏复苏及气管插管水平。

Objective To analyze the value of cardiopulmonary resuscitation and tracheal intubation in emergency care.Methods A total of 286 acute critical patients from April 2014 to April 2017 were selected and divided into control group and observation group randomly,which were treated by common emergency nursing staff and excellent staff,respectively.The emergency care quality and effectiveness of each group were then compared.Results The rescuing time and the time required for cardiopulmonary resuscitation,resumed breathing and intubation of observation group were less than control group（P〈0.05）.The ratio of successful rescue and the survival rate of observation group were higher than control group（P〈0.05）,while the adverse event rate of observation group was lower（P〈0.05）.The cases from observation group who are satisfied with the rescue techniques and emergency care were more than contrast group.Conclusion Improving the CPR and endotracheal intubation technique level of nursing staff can increase the ratio of successful rescue,reduce the occurrence of adverse events and improve the rescue nursing quality.This paper recommend the emergency department to enhance the quality of emergency nursing staff.