程序化急救护理在急诊危重症患者中的应用效果及对抢救成功率的影响

Application effect of programmed emergency nursing in critically ill patients of emergency department and its influence on the success rate of emergency treatment

目的探讨程序化急救护理在急诊危重症患者中的应用效果。方法根据护理方式的不同将2020年8月至2021年8月于本院急诊科接受救治的50例危重症患者分为对照组(25例,常规急救护理)和观察组(25例,程序化急救护理)。比较两组的护理效果。结果观察组的急救时间、急诊室停留时间均短于对照组,抢救成功率、满意度均高于对照组(P<0.05)。护理后24 h,观察组的急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)、格拉斯哥昏迷量表评分(GCS)以及急诊严重指数(ESI)评分均优于对照组(P<0.05)。护理后3个月,观察组的健康状况调查表(SF-36)各维度评分均显著高于对照组(P<0.05)。结论程序化急救护理可有效缩短急诊危重症患者的急救时间,提高抢救成功率,提升生活质量。

Objective To explore the application effect of programmed emergency nursing in critically ill patients of emergency department.Methods Fifty critically ill patients who were treated in the emergency department of our hospital from August 2020 to August 2021 were divided into control group(25 cases,routine emergency nursing)and observation group(25 cases,programmed emergency nursing)by different nursing methods.The nursing effects of the two groups were compared.Results The first aid time and emergency room stay time of the observation group were shorter than those of the control group,and the success rate of emergency treatment and satisfaction were higher than those of the control group(P<0.05).At 24 h after nursing,the scores of Acute Physiology and Choronic Health EvaluationⅡ(APACHEⅡ),Glasgow Coma Score(GCS)and Emergency Severity Index(ESI)in the observation group were better than those in the control group(P<0.05).At 3 months after nursing,the scores of each dimension of 36-Item Short Form Health Survey(SF-36)in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Programmed emergency nursing can effectively shorten the emergency time of critically ill patients in emergency department,improve the success rate of emergency treatment and improve quality of life.