优化急诊护理在脑出血患者中的应用效果

Application effects of optimized emergency nursing process in patients with cerebral hemorrhage

目的:观察优化急诊护理在急诊脑出血患者中的应用效果。方法:选取2019年1月至2020年1月该院急诊收治的120例脑出血患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各60例。对照组实施常规急诊护理,观察组在对照组基础上实施优化急诊护理。比较两组各流程时间、护理前后意识障碍程度[格拉斯哥昏迷评分(GCS)]评分、抢救成功率、护理满意度。结果:观察组病情检查时间、分诊转科时间、抢救时间及急救总时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组GCS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组抢救成功率为98.33%(59/60),高于对照组的86.67%(52/60),差异有统计学意义(P<0.05);观察组护理满意度为95.00%(57/60),高于对照组的76.67%(46/60),差异有统计学意义(P<0.05)。结论:在常规急诊护理基础上实施优化急诊护理可缩短急诊脑出血患者流程时间,以及提高GCS评分、抢救成功率和护理满意度的效果优于单纯常规急诊护理效果。

Objective:To observe application effects of optimized emergency nursing process in patients with cerebral hemorrhage.Methods:A prospective study was conducted on 120 patients with cerebral hemorrhage admitted to the emergency department of the hospital from January 2019 to January 2020.According to the random number table method,they were divided into control group and observation group,60 cases in each group.The control group was given routine emergency nursing,while the observation group was given the optimized emergency nursing on the basis of that of the control group.Each process time,the degree of consciousness disorder[Glasgow coma scale(GCS)]score before and after the nursing,the rescue success rate,and the nursing satisfaction were compared between the two groups.Results:The disease examination time,the triage and transfer tie,the rescue time and the total time of emergency treatment in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GCS scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The rescue success rate of the observation group was 98.33%(59/60),which was higher than 86.67%(52/60)of the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.00%(57/60),which was higher than 76.67%(46/60)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine emergency nursing,the optimized emergency nursing can shorten the process time of the patients with emergency cerebral hemorrhage,and improve the GCS scores,the rescue success rates and the nursing satisfaction.Moreover,it is superior to single routine emergency nursing.