对急诊脑梗死患者采取风险防范管理的探讨

Discussion on Risk Prevention Management for Cognitive Impariment Patients

目的:探讨对急诊脑梗死(Cognitive impariment,CI)患者采取风险防范管理的应用效果。方法:选取2018年6月—2020年6月信阳市中医院收治的89例急诊CI患者作为研究对象,根据入院顺序分为对照组44例和研究组45例。对照组采取常规护理,研究组在常规护理基础上采取风险防范管理体系干预。观察对比两组患者抢救成功率、抢救效率(分诊评估时间、急救总时间、静脉采血时间、住院时间)、不良事件发生情况及护理满意度。结果:研究组抢救成功率为97.78%,高于对照组的81.82%,差异有统计学意义(χ^(2)=4.602,P<0.05)。研究组分诊评估时间、住院时间、急救总时间、静脉采血时间短于对照组,差异有统计学意义(t=21.027、8.778、18.939、22.600,P<0.05)。研究组不良事件发生率与对照组比较,差异无统计学意义(P>0.05),研究组护理满意度为95.46%,高于对照组的75.00%,差异有统计学意义(χ^(2)=5.367,P<0.05)。结论:风险防范管理体系应用于急诊CI患者中,可恢复神经功能,提高抢救效果及日常生活能力,营造和谐护患关系。

Objective: To explore risk prevention management for cognitive impariment(CI) patients. Methods: A total of 89emergency CI patients admitted to the hospital from June 2018 to June 2020 were selected as the research objects, and they were divided into the control group of 44 cases and the study group of 45 cases according to the order of admission. The control group received routine nursing care, and the research group adopted a risk prevention management system based on the routine nursing.The rescue success rate, rescue efficiency(triage evaluation time, total emergency time, venous blood collection time, hospitalization time), adverse events, and nursing satisfaction were observed and compared between the two groups. Results: The rescue success rate in the study group was 97.78%, which was higher than 81.82% in the control group, and the difference was statistically significant(χ^(2)=4.602, P<0.05). The time of diagnosis and evaluation, hospitalization time, total emergency time, and venous blood collection time in the study group were shorter than those in the control group, and the differences were statistically significant(t=21.027, 8.778, 18.939, 22.600, P<0.05). There was no statistically significant difference in the incidence of adverse events between the study group and the control group(P>0.05). The nursing satisfaction of the research group was 95.46%, which was higher than 75.00% of the control group, and the difference was statistically significant(χ^(2)=5.367, P<0.05). Conclusion: The risk prevention management system is applied to emergency CI patients, which can restore neurological function, improve the rescue effect and daily life ability, and create a harmonious nurse-patient relationship.