急诊危重患者抢救中应用全程护理服务的效果

The effect of whole course nursing service in the emergency rescue of critically ill patients

目的探讨全程护理在急诊抢救中的应用效果。方法采用随机数字表法将2016年1月-2017年12月在广州市番禺区何贤纪念医院急诊科实施急诊抢救的200例患者分为对照组和观察组各100例,对照组进行常规护理,观察组给予全程护理,对比分析两组的抢救效果。结果对照组抢救成功率为80.00%,低于观察组的94.00%;观察组的抢救时间平均为(32.98±11.34)min,短于对照组的(49.36±13.58) min;对照组的SAS评分为(58.36±12.64)分,高于观察组的(46.52±11.68)分;对照组的疾病不确定感评分为(66.37±15.84)分,高于观察组的(43.51±12.62)分;对照组护理满意度为78.00%,低于观察组的95.00%;差异均有统计学意义(P<0.05)。结论全程护理模式在急诊抢救中应用效果明显,提高了抢救成功率以及患者家属对护理的满意度。

Objective To explore the application effect of whole course nursing in emergency rescue.Methods 200 patients in emergency department of Panyu District Hsien Memorial Hospital from January2016 to December 2017 were divided with random number table method into the control group and the observation group, with 100 patients in each group. The control group received routine nursing, the observation group were given the whole course nursing. The rescue effects of the two groups were com pared and analyzed. Results The success rate of rescue in control group was 80.00%, lower than 94.00% in observation group. The average rescue time in the observation group was（32.98 ±11.34） min, shorter than（49.36±13.58） min in the control group. The SAS score of the control group was（58.36±12.64）, higher than（46.52 ±11.68） of the observation group. The score of disease uncertainty in control group was（66.37 ±15.84）, higher than（43.51±12.62） in observation group. The nursing satisfaction of the control group was 78.00%, lower than 95.00% of the observation group. The differences above were statistically significant（P〈0.05）. Conclusion The whole course nursing mode is effective in emergency rescue, which improves the success rate of rescue and the satisfaction of family members to nursing.