急诊护理对心肺复苏后患者临床应用效果及满意度分析

Analysis of the Clinical Application Effect and Satisfaction Degree of Emergency Nursing on Patients after Cardiopulmonary Resuscitation

目的:分析急诊护理对心肺复苏后患者临床应用效果及满意度。方法:选取2018年6月—2020年6月三明市第一医院收治的48例进行心肺复苏的患者作为研究对象,按照护理形式的不同处分为常规组和研究组,每组各24例。常规组患者采用常规护理模式,研究组患者采用急诊护理模式。观察比较两组患者的临床指标、存活率、并发症发生率及护理满意度情况。结果:研究组患者住ICU时间、呼吸机维持时间、格拉斯昏迷评分(GCS)及神经功能缺损评分(NIHSS)均优于常规组患者,差异有统计学意义(t=4.383 7、8.204 6、14.899 5、8.708 3,P<0.05)。研究组患者存活率高于常规组患者,差异有统计学意义(χ^(2)=4.1812、5.1692,P<0.05)。研究组患者并发症发生率低于常规组患者,差异有统计学意义(χ^(2)=5.400 0,P<0.05)。研究组患者护理满意度高于常规组患者,差异有统计学意义(χ^(2)=4.363 6,P<0.05)。护理措施开展之前,组间血氧分压水平指标均差异无统计学意义(t=0.028 6、0.096 8,P>0.05)。开展护理措施后两组患者血气指标均有所改善,且研究组指标更优,差异有统计学意义(t=3.064 8、3.244 5,P<0.05)。开展护理措施后两组患者肺功能指标均有所改善,且研究组指标更优,差异有统计学意义(t=4.484 8、3.948 6、12.315 6,P<0.05)结论:针对心肺复苏的患者提供急诊护理模式,可为临床指标的优化、存活几率的提升、并发症风险的降低以及护理满意度的提高给予有力保障。

Objective: To analyze the clinical application effect and satisfaction degree of emergency nursing for patients after cardiopulmonary resuscitation. Methods: From June 2018 to June 2020, 48 patients undergoing cardiac resuscitation who were admitted to the hospital were selected as the research objects. The clinical data were retrospectively analyzed, and they were divided into routine group and research group according to different nursing forms, with 24 cases in each group.The patients in the routine group received the routine nursing mode, and the patients in the study group received the emergency nursing mode. The clinical indicators, survival rate, complication rate and nursing satisfaction of the two groups were observed and compared. Results: The ICU stay time, ventilator maintenance time, Glass coma score(GCS) and neurological deficit score(NIHSS) in the study group were all better than those in the conventional group, and the differences were statistically significant(t=4.383 7, 8.204 6, 14.899 5, 8.708 3,P<0.05). The survival rate of patients in the study group was higher than that in the routine group, and the difference was statistically significant(χ^(2)=4.181 2, 5.169 2, P<0.05). The incidence of complications in the study group was lower than that in the routine group, and the difference was statistically significant(χ^(2)=5.400 0, P<0.05). The nursing satisfaction of the patients in the study group was higher than that of the patients in the routine group, and the difference was statistically significant(χ^(2)=4.363 6,P<0.05). Before the nursing measures were carried out, there was no significant difference in the level of blood oxygen partial pressure between the groups(t=0.028 6, 0.096 8, P>0.05). After the nursing measures were carried out, the indicators of the two groups of patients were improved, and the indicators of the observation group were better, and the difference was statistically significant(t=3.064 8, 3.244 5, P<0.05). After the nursing measures were carried out, the indicators of the two groups of patients improved, and the indicators of the observation group were better, the difference was statistically significant(t=4.484 8, 3.948 6,12.315 6, P>0.05). Conclusion: Providing an emergency nursing model for CPR patients can provide a strong guarantee for the optimization of clinical indicators, the improvement of survival probability, the reduction of complication risk, and the improvement of nursing satisfaction. Therefore, this model can be actively implemented.