优化急救护理流程对急诊心肺复苏患者抢救成功率及预后的影响

Effect of optimizing emergency nursing process on the success rate of rescue and prognosis for the patients undergoing emergency cardiopulmonary resuscitation

目的分析优化急救护理流程对急诊心肺复苏患者抢救成功率及预后的影响。方法选择我院2017年7月至2018年10月急诊科收治的90例心肺复苏患者,并拟定于2018年2月优化急救护理流程,将优化前的40例患者作为对照组,采取常规的急诊护理措施,优化后的50例患者作为研究组,比较两组患者的抢救流程的时间消耗情况、抢救成功率、死亡率、并发症发生率。结果研究组患者接诊时间为(2.12±0.12)min,胸外按压时间耗时(1.65±0.17)min,心电图检查耗时(1.18±0.19)min,建立静脉通路耗时(3.16±0.29)min,与对照组比较,差异有统计学意义(P<0.05);研究组患者的抢救成功率为74.00%(37例),对照组患者抢救成功率为50.00%(20例),两组患者抢救成功率比较,差异有统计学意义(P<0.05);研究组患者的死亡率为26.00%(13例)明显低于对照组50%(20例),差异有统计学意义(P<0.05)。研究组患者并发症发生率为4.00%(2/50),对照组患者并发症发生率为17.50%(7/40),两组并发症比较,差异有统计学意义(P<0.05)。结论优化急救护理流程可有效减少急诊心肺复苏患者抢救所需时间,为患者赢得更多的生存机会,提高了抢救成功率,减少了并发症,可改善急诊预后,值得进行推广。

Objective To analyze the effect of optimizing emergency nursing process on the success rate and prognosis for the patients undergoing emergency cardiopulmonary resuscitation.Methods A total of 90 patients undergoing cardiopulmonary resuscitation who were admitted to the emergency department of our hospital were included in the study.The patients were enrolled from July 2017 to October 2018,and it was planned to optimize the emergency nursing process in February 2018.40 patients before optimization were assigned to the control group,and routine emergency care measures were taken.50 patients after optimization were assigned to the study group.The time consumption,rescue success rate,mortality rate and complication rate of the rescue procedures were compared between the two groups of patients.Results And the time for establishing the venous access was(3.16±0.29)min.There were statistically significant differences in the data compared with those in the control group(P<0.05);the rescue success rate in the study group was 74.00%(37 cases),and the rescue success rate in the control group was 50.00%(20 cases).The difference in the rescue success rate between the two groups was statistically significant(P<0.05);the mortality rate in the study group was 26.00%(13 cases),which was significantly lower than that of 50.00% in the control group(20 cases),and the difference was statistically significant(P<0.05).The incidence rate of complications in the study group was 4.00%(2/50),and the incidence of complications in the control group was 17.50%(7/40).The difference in complications between the two groups was statistically significant(P<0.05).Conclusion Optimizing the emergency nursing process can effectively reduce the time required for rescue for the patients undergoing emergency cardiopulmonary resuscitation,win more survival opportunities for patients,improve the success rate of rescue,reduce complications,and improve the emergency prognosis,which is worthy of promotion.