全程优化护理对急诊心跳呼吸骤停患者抢救成功率的影响

Effects of whole-course optimized nursing on the successful rescue rate of emergency patients with cardiac and respiratory arrest

目的探讨全程优化护理对提升急诊心跳呼吸骤停患者抢救成功率的影响。方法选择2017年1月~2019年2月本院急诊科接诊的心跳呼吸骤停患者75例展开回顾性分析,按照护理方式分为对照组(常规性护理,n=38)及观察组(针对性护理,n=37)。比较两组患者抢救成功率、心律恢复用时、自主循环恢复用时以及自主呼吸恢复用时。结果观察组抢救成功率为81.08%,高于对照组抢救成功率55.26%(P<0.05);观察组抢救时间(15.32±1.72)min,低于对照组的(20.54±3.58)min(P<0.05);观察组死亡率为18.92%,低于对照组死亡率44.75%(P<0.05)。观察组心律恢复用时、自主循环恢复用时以及自主呼吸恢复用时分别为(2.64±0.58)min、(56.54±6.58)min及(51.24±6.94)min,均低于对照组对应(5.24±1.02)min、(91.56±8.54)min及(122.64±10.28)min,差异有统计学意义(P<0.05)。且观察组家属满意度为100.00%,高于对照组家属满意度81.58%(P<0.05)。结论在急诊心跳呼吸骤停患者抢救工作中实施全程优化护理,效果显著,可有效稳定患者生命体征,缩短抢救时间,极大提升抢救率,对改善患者预后具有十分重要的价值,且患者家属对整体护理干预服务满意,有利于维护良好的医患关系。

Objective To explore effects of whole-course optimized nursing on improving the successful rescue rate of emergency patients with cardiac and respiratory arrest.Methods 75 patients with cardiac and respiratory arrestwho were treated in department of emergency in our hospital from January 2017 to February 2019 were retrospectively analyzed.According to the nursing method,they were divided into the control group(conventional nursing,n=38)and the observation group(targeted nursing,n=37).The successful rescue rate,cardiac rhythm recovery time,spontaneous circulation recovery time and spontaneous breathing recovery time were compared between the two groups.Results The successful rescue rate of the observation group(81.08%)was higher than that of the control group(55.26%),P<0.05.The rescue time of the observation group was(15.32±1.72)min,lower than that of the control group(20.54±3.58)min(P<0.05).The mortality of the observation group was 18.92%,which was lower than that of the control group(44.75%),P<0.05.The cardiac rhythm recovery time,spontaneous circulation recovery time and spontaneous breathing recovery timeof the observation group were respectively(2.64±0.58)min,(56.54±6.58)min and(51.24±6.94)min,which were lower than(5.24±1.02)min.(91.56±8.54)min and(122.64±10.28)min in the control group,P<0.05.The satisfaction of family members in the observation group(100.00%)was higher than that in the control group(81.58%),P<0.05.Conclusion For emergency patients with cardiac and respiratory arrest,implementation of whole-process optimized nursing in rescue has significant effects.It can effectively stabilize the patients’vital signs,shorten the rescue time and greatly improve the rescue rate,which is of great value to improve the prognosis of patients.And the family members of the patients are satisfied with the overall nursing intervention service,which is conducive to maintaining a good doctor-patient relationship.