预见性护理在医院综合门诊预防患者晕厥中的应用

The application of predictive nursing in preventing patients syncope in comprehensive outpatient clinics

目的:当患者在综合性医院出现晕厥突发状况时,能够有效及时地提供救治成为综合性医院面临的重大问题,本研究探讨在医院综合门诊应用预见性护理预防患者晕厥的临床效果。方法:纳入我院2017年3月—2017年12月120例病历资料,采取预见性护理预防患者晕厥,作为预见性护理组,从分析可能存在跌倒的原因、跌倒预防与处理干预、跌倒护理质控、对患者家属的综合护理管理方面进行干预;2016年5月—2017年2月120例常规护理方法的病历资料作为对照,从晕厥发生率、患者满意度、平均救护时间探讨预见性护理在医院综合门诊的应用效果。结果:预见性护理组有2例出现晕厥发生率,对照组有10例,预见性护理组晕厥发生率低于对照组,比较差异有显著统计学意义(P <0.05);预见性护理组满意度95.00%高于对照组85.00%,差异比较有显著统计学意义(P <0.05)。预见性护理组平均救护时间(21.44±2.75)min,对照组平均救护时间(39.44±5.63)min,比较差异有显著统计学意义(P <0.05)。结论:预见性护理能让医护人员做好患者的心理疏导,充分调动主动性,全面了解和综合评估患者病情,健康教育实施于整个护理过程,改善患者健康信念,健康行为,有效缩短平均救护时间,降低晕厥发生率。

Objective:When patients have sudden syncope in general hospitals,giving them effective and prompt treatment is a major problem for general hospitals.This study explores the clinical effects of using predictive nursing to prevent patients with syncope in comprehensive outpatient clinics.Methods:120 cases of medical records from March 2017 to December 2017 in our hospital were included.Predictive care was used to prevent syncope in patients.As a predictive care group,the reasons for fall,fall prevention and treatment intervention,and fall care quality may be analyzed and controlling and intervening in the comprehensive care management of the patient's family members were given;from May 2016 to February 2017,medical records of 120 routine care methods were used as controls to discuss predictive care from the incidence of syncope,patient satisfaction,and average time to rescue,the effect of comprehensive outpatient clinic application.Results:There were 2 cases of syncope in the prospective care group and 10 cases in the control group.The prevalence of syncope in the prospective care group was lower than that in the control group.There was a statistically significant difference(P<0.05);The predictive care satisfaction of the prospective care group was 95.00%,which was higher than that of the control group,85.00%,there was a statistically significant difference(P<0.05).The average life-saving time of the anticipatory care group was(21.44±2.75)minutes,and the mean time of care for the control group was(39.44±5.63)minutes,which was significantly statistically significant(P<0.05).Conclusion:Predictive care could enable the medical staff to give patient psychological counseling,fully mobilize the initiative,fully understand and comprehensively assess the patient's condition,health education implemented throughout the nursing process,improve the patient's health beliefs and health behaviors,and effectively shorten the average rescue time and reduce the incidence of syncope.