基于三维护理模式的院前急救在血栓栓塞护理中的作用及对抢救成功率的影响

The Effect of Pre-hospital Emergency Based on Three-dimensional Nursing Mode in Thromboembolic Nursing and Its Effect on the Success Rate of Rescue

目的:探讨基于三维护理模式的院前急救用于血栓栓塞护理中的作用及对抢救成功率的影响。方法:回顾性分析2018年1月-2020年2月笔者所在医院128例血栓栓塞患者的临床资料,其中2018年1月-2019年1月实施常规院前急救护理的64例患者纳入对照组,2019年2月-2020年2月实施基于三维护理模式院前急救的64患者纳入研究组。比较两组实施后拨打急救电话到现场急救时间、现场急救到院内救治时间、抢救成功率及家属护理满意度。结果:研究组拨打急救电话到现场急救时间、现场急救到院内救治时间均短于对照组,差异均有统计学意义(P<0.05);研究组抢救成功率为96.88%,高于对照组的85.94%,差异有统计学意义(P<0.05);研究组家属各项护理满意度评分及总满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:血栓栓塞患者护理中实施基于三维护理模式的院前急救可缩短拨打急救电话到现场急救时间、现场急救到院内救治时间,提升抢救成功率,改善家属护理满意度,价值显著。

Objective:To explore the effect of pre-hospital emergency based on three-dimensional nursing mode in thromboembolic nursing and its impact on the success rate of rescue.Method:The clinical datas of 128 patients with thromboembolism in our hospital from January 2018 to February 2020 were retrospectively analyzed.Among them,64 patients who received routine pre-hospital emergency care from January 2018 to January 2019 were included in the control group,and 64 patients who received pre-hospital emergency care based on three-dimensional nursing mode from February 2019 to February 2020 were included in the study group.After the implementation of the two groups,the emergency call to the on-site emergency time,the on-site emergency to the hospital treatment time,the success rate of rescue and the satisfaction of family care were compared.Result:The emergency call to the on-site emergency time,the on-site emergency to the hospital treatment time in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).The the success rate of rescue in the study group was 96.88%,higher than 85.94%in the control group,the difference was statistically significant(P<0.05).All nursing satisfaction scores and total satisfaction scores of family members in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of pre-hospital emergency based on the three-dimensional nursing mode in the care of patients with thromboembolism can shorten the time from dialing emergency calls to on-site emergency and on-site emergency to in-hospital treatment,improve the success rate of rescue,improve the satisfaction of family care,and have significant value.