新型体位在急诊非外伤性昏迷病人院内转运中的效果评价

Application value of new postion in intrahospital transport of non-traumatic coma patients

目的:分析新型体位在急诊非外伤性昏迷病人院内转运过程中的效果,探讨此类病人转运过程中合适的护理体位。方法:选取2018年1-6月就诊的非外伤性昏迷病人50例作为对照组,取常规体位;选取2018年7-12月就诊的非外伤性昏迷病人50例作为观察组,采用新型体位,取头高20°~30°并侧卧30°~60°体位。比较2组病人转运过程中的平均动脉压、心率和体位耐受时间、护理不良事件及病人家属满意度。结果:2组病人入急诊科和收住病房时的平均动脉压和心率差异均无统计学意义(P>0.05)。观察组病人体位耐受时间长于对照组(P<0.05),护理不良事件发生率低于对照组(P<0.05),家属满意度高于对照组(P<0.05)。结论:新型体位是急诊非外伤性昏迷病人院内转运过程中较适宜的护理体位,有助于降低护理不良事件发生率,提高病人家属满意度。

Objective:To investigate the effects of new position in intrahospital transport of non-traumatic coma patients,and explore the appropriate nursing position during the transport.Methods:Fifty non-traumatic coma patients from January to June 2018 and 50 cases from July to December 2018 were divided into the control group and observation group,respectively.The control group and observation group were nursed with the conventional position and new position(head height of 20°to 30°and side lying at 30°to 60°),respectively.The mean arterial pressure,heart rate and position tolerance time,nursing adverse events and satisfaction of patients′family were compared between two groups.Results:There was no statistical significance in the mean arterial pressure and heart rate between two groups at admission(P>0.05).The position tolerance time,incidence rate of nursing adverse events and family satisfaction in observation group were longer,lower and better than those in control group,respectively(P<0.05).Conclusions:The new position is a suitable nursing position in the transport of non-traumatic coma patients in emergency,and helpful to reduce the incidence rate of nursing adverse events and improve the satisfaction of patients′family.