全面护理干预在恶性心律失常致心搏骤停患者中的应用效果

Application effect of comprehensive nursing intervention in patients with cardiac arrest caused by malignant arrhythmia

目的探讨全面护理干预在恶性心律失常致心搏骤停患者中的应用效果。方法选取2017年2月~2019年1月我院收治的98例恶性心律失常致心搏骤停患者,随机分为对照组和观察组,每组各49例。对照组采取常规护理方法,观察组采取全面护理干预。比较两组抢救成功率,生命体征恢复时间,以及两组的生活质量。结果观察组初步抢救成功率为81.63%、完全抢救成功率为57.14%,分别高于对照组的38.78%和20.41%,差异有统计学意义(P<0.05)。观察组自主循环恢复时间(40.27±9.45)、自主呼吸恢复时间(29.37±6.88)、窦性心律恢复时间[(2.77±0.58)min],分别短于对照组的(102.59±22.67)、(146.34±31.37)、(5.13±1.20)min,差异有统计学意义(P<0.05)。观察组意识情况(14.82±7.25)、肢体活动(16.81±5.76)、社会功能(14.67±8.64)、环境领域(12.38±5.24)分,分别高于对照组的(9.16±5.22)、(11.03±4.28)、(10.16±5.97)、(8.16±4.33)分,差异有统计学意义(P<0.05)。结论对于恶性心律失常导致心搏骤停患者,在临床抢救时采取全面护理干预配合能提高初步抢救和完全抢救成功率,并将各项生命体征恢复时间缩短,临床效果显著。

Objective To explore the application effect of comprehensive nursing intervention in patients with cardiac arrest caused by malignant arrhythmia.Methods From February 2017 to January 2019,98 patients with cardiac arrest caused by malignant arrhythmia treated in our hospital were selected and randomly divided into control group(n=49)and observation group(n=49).The control group was treated with routine nursing method,and the observation group was treated with comprehensive nursing intervention.The success rate of rescue,the recovery time of vital signs and the quality of life of the two groups were compared.Results The initial rescue success rate and complete rescue success rate in the observation group were 81.63%and 57.14%,respectively,which were higher than those in the control group(38.78%and 20.41%),the differences were statistically significant(P<0.05).The recovery time of autologous circulation(40.27±9.45),autogous respiration(29.37±6.88)min,sinus rhythm(2.77±0.58)min,which were shorter than those of the control group(102.59±22.67),(146.34±31.37)and(5.13±1.20)min,the differences were statistically significant(P<0.05).Observation group consciousness(14.82±7.25),limb activity(16.81±5.76),social function(14.67±8.64)and environment field(12.38±5.24)point were higher than those in the control group(9.16±5.22),(11.03±4.28),(10.16±5.97)and(8.16±4.33)point,the differences were statistically significant(P<0.05).Conclusion Due to malignant arrhythmia,comprehensive nursing intervention can improve the success rate of initial rescue and complete rescue,and shorten the recovery time of vital signs,and the clinical effect is remarkable.