优化院前急救护理干预对急性心力衰竭患者救治效果的影响

Effect of optimizing pre-hospital emergency nursing intervention on the treatment of patients with acute heart failure

目的探究优化院前急救护理干预对急性心力衰竭(AHF)患者救治效果的影响。方法分别选择2019年1月至10月收治的126例AHF患者作为对照组和2019年11月至2020年10月收治的141例AHF患者作为研究组。对照组院前给予常规检查和对症处理后,立即送往院内AHF急救区域进行进一步救治;研究组则给予优化后的院前救治护理干预。比较两组患者发病时和入院1 h的心功能指标(BNP、LVEF)、血气指标(PaO2、SpO2)及出车反应时间、转运途中时间、医院反应时间和院前急救成功率。结果入院1 h,两组的BNP水平相较于发病时均显著下降,LVEF均显著增大,且研究组优于对照组(P<0.05)。入院1 h,两组的PaO2、SpO2相较于发病时均升高,且研究组高于对照组(P<0.05)。研究组的出车反应时间、转运途中时间、医院反应时间明显短于对照组,院前急救成功率高于对照组(P<0.05)。结论优化AHF院前急救护理干预,有助于提高急救效率,降低患者心肌损伤,促进心肺功能恢复,改善患者预后。

Objective To explore the effect of optimizing pre-hospital emergency nursing intervention on the treatment of patients with acute heart failure(AHF).Methods A total of 126 patients with AHF admitted from January to October2019 were selected as the control group and 141 patients with AHF admitted from November 2019 to October 2020 were selected as the study group.After routine examination and symptomatic treatment,the control group was immediately sent to the AHF emergency area for further treatment;the study group was given the optimized pre-hospital treatment and nursing intervention.The cardiac function indexes(BNP,LVEF),blood gas indexes(PaO2,SpO2),departure reaction time,transit time,hospital reaction time and success rate of pre-hospital emergency treatment were compared between the two groups of patients at onset and 1 h after admission.Results One hour after admission,the BNP level in the two groups decreased significantly compared with the onset,and LVEF increased significantly,and those in the study group were better than the control group(P<0.05).One hour after admission,PaO2 and SpO2 in the two groups were higher than those at onset,and those in the study group were higher than the control group(P<0.05).The departure reaction time,transit time and hospital reaction time in the study group were significantly shorter than those in the control group,and the success rate of pre-hospital emergency treatment was higher than that in the control group(P<0.05).Conclusion Optimizing the prehospital emergency nursing intervention of AHF is helpful to improve the emergency efficiency,reduce the myocardial injury,promote the recovery of cardiopulmonary function and improve the prognosis of patients.