临床治疗路径在急性呼吸困难患者急救中的应用效果

Application effect of clinical treatment path in first-aid for patients with acute dyspnea

目的探究临床路径在急性呼吸困难患者急救中的应用效果。方法选取本院2015年6月～2017年9月收治的128例急性呼吸困难患者为研究对象,采用抽签法将其随机分为常规组和研究组,每组64例。常规组患者给予常规性的急救治疗,研究组患者应用临床治疗路径进行急救治疗。比较两组患者的抢救成功率、急诊治疗费用;急抢救时间、呼吸困难缓解时间、急诊滞留时间;护理满意度。结果研究组患者的抢救成功率(84.38%)明显高于常规组(70.31%),差异有统计学意义(P<0.05)。研究组患者的急诊治疗费用为(985.0±116.8)元,明显低于常规组的(1056.0±259.2)元,急救抢救时间、呼吸困难缓解时间、急诊滞留时间明显短于常规组,差异均有统计学意义(P<0.05)。研究组患者的术后护理总满意度(76.56%)明显高于常规组(57.81%),差异有统计学意义(P<0.05)。结论临床治疗路径可有效提高急性呼吸困难急救患者的急救成功率,缩短其呼吸困难缓解和急诊滞留时间,对降低患者的急诊治疗费用、提高患者的术后护理满意度、提高医疗急救质量具有重要意义,值得临床推广应用。

Objective To explore the application effect of clinical treatment path in first-aid for patients with dyspnea. Methods A total of 128 patients with acute dyspnea admitted into our hospital from June 2015 to September 2017 were selected as the study objects and they were randomly divided into the routine group and study group using drawing lots, there were 64 cases in each group. The routine group was given routine first-aid treatment, while the study group was given first-aid treatment by clinical treatment pathway. The success rate of rescue, the cost of emergency treatment, the time of emergency rescue, the time of relieving dyspnea, the time of emergency detention and nursing satisfaction degree were compared in patients between the two groups. Results The success rate of rescue in the study group (84.38%) was significantly higher than that in the routine group (70.31%), and the difference was statistically significant (P<0.05). The emergency treatment cost of the study group was (985.0±116.8) yuan, which was significantly lower than that of the routine group ([1056.0±259.2] yuan), the time of emergency rescue, the time of relieving dyspnea, the time of emergency detention were shorter those than those of the routine group, and the differences were statistically significant (P<0.05). The total satisfaction degree of nursing after operation in the study group (76.56%) was significantly higher than that in the routine group (57.81%), and the difference was statistically significant (P<0.05). Conclusion Clinical treatment pathway can effectively improve the success rate of first-aid for patients with acute dyspnea, shorten the relief of dyspnea and emergency detention time. It is of great significance to reduce the cost of emergency treatment, improve the postoperative satisfaction degree of patients, and improve the quality of medical first-aid. It is worthy of clinical promotion and application.