专职化分层护理小组在急诊心血管危重患者抢救中的应用效果及对抢救质量的影响

Application effect of specialized stratified nursing group in the emergency rescue of critical cardiovascular patients and its influence on the quality of rescue

目的探讨专职化分层护理小组在急诊心血管危重患者抢救中的应用效果及对抢救质量的影响。方法选择2017年2月至2019年3月于本院接受治疗的106例急诊心血管危重患者,根据是否采用专职化分层护理将其分为观察组与对照组,各53例。对照组应用传统急救护理模式,观察组应用专职化分层护理小组模式。比较两组患者护理前、后的病情严重程度、护理质量评分、各项抢救时间与救治效果。结果护理后,两组患者REMS、APACHEⅡ评分均低于护理前,且观察组低于对照组(P<0.05);观察组患者的质量管理、药械配备与管理、人员配备与培训、急救体系、科室设置、环境布局评分均高于对照组(P<0.05);观察组患者的气管插管时间、静脉开放时间、绿色通道停留时间、生命体征判断时间及心肺复苏时间均短于对照组(P<0.05);观察组患者的心肌酶谱回落率、ST段回落率、胸痛缓解率与抢救成功率均高于对照组(P<0.05)。结论专职化分层护理小组模式在急诊心血管危重患者抢救过程中的应用效果显著,可有效缩短患者的救治时间,提高患者抢救质量,值得临床推广应用。

Objective To investigate the application effect of specialized stratified nursing group in the emergency rescue of critical cardiovascular patients and its influence on the quality of rescue. Methods A total of 106 cases of emergency critical cardiovascular patients treated in our hospital from February 2017 to March 2019 were selected and divided into observation group and control group according to whether or not adopting the specialized stratified nursing,with 53 cases in each group. The control group used the traditional first aid nursing mode, while the observation group used the specialized stratified nursing group mode. The severity of disease before and after nursing, nursing quality scores,rescue times and effects of the two groups were compared. Results After nursing, the scores of REMS and APACHE Ⅱ in the two groups were lower than those before nursing, and those in the observation group were lower than the control group(P <0.05). The scores of quality management, medical equipment allocation and management, personnel allocation and training, first aid system, department setting and environmental layout in the observation group were higher than those in the control group(P <0.05). The intubation time, vein opening time, green channel stay time, vital sign judgment time and cardiopulmonary resuscitation time of the observation group were shorter than those of the control group(P<0.05). The rates of myocardial zymogram decline, ST segment decline, chest pain relief rate and rescue success rate in the observation group were higher than those in the control group(P <0.05). Conclusion The specialized stratified nursing group mode in the emergency rescue of critical cardiovascular patients has significant application effect, it can effectively shorten the treatment time of patients and improve the treatment quality of patients, which is worthy of clinical popularization and application.