院前急救护理对急诊昏迷患者临床预后的影响评估

Evaluation of the Influence of Pre-hospital Emergency Nursing on the Clinical Prognosis of Emergency Coma Patients

目的 研究分析急诊昏迷患者采用院前急救护理方式实施干预对其临床预后的影响作用。方法 方便选取2022年1-6月曹县人民医院急诊直接到院就诊的34例昏迷患者作为对照组,方便选取2022年7-12月实施院前急救护理的41例昏迷患者作为研究组,对急救相关指标用时、并发症发病率、护理满意度等进行对比。结果 对照组患者入院等诊时间、急救反应时间、总急救用时分别为(13.75±2.17)min、(7.64±1.23)min、(52.64±16.95)min,均长于研究组的(10.23±1.46)、(3.29±1.02)、(43.18±12.16)min,差异有统计学意义(t=8.358、16.747、2.807,P均<0.05)。与对照组并发症发病率(23.52%)比较,研究组并发症发病率(4.87%)较低,差异有统计学意义(χ^(2)=5.595,P<0.05)。研究组患者护理满意度较对照组高,差异有统计学意义(P<0.05)。结论 为急诊昏迷患者实施护理干预,院前急救护理的开展,有助于提高患者急救时效性,维护其生命安全,降低昏迷对于患者机体健康影响。

Objective To study and analyze the effect of pre-hospital emergency nursing intervention on the clinical prognosis of coma patients.Methods From January 2022 to June 2022,34 patients with coma condition directly admit-ted to the Emergency Department of Caoxian County People's Hospital were conveniently selected as the control group.From July 2022 to December 2022,41 comatose patients received pre-hospital emergency care were conve-niently selected as research group.All indexes related to first aid,incidence of complications and nursing satisfaction of patients were compared between the two groups.Results In the control group,the time of hospitalization,emergency response time and total emergency time were(13.75±2.17)min,(7.64±1.23)min and(52.64±16.95)min,respectively.They were longer than those in the research group:(10.23±1.46)min,(3.29±1.02)min,(43.18±12.16)min,and the dif-ferences were statistically significant(t=8.358,16.747,2.807,all P<0.05).Compared with(23.52%)in the control group,the complication incidence in the research group(4.87%)was lower,and the difference was statistically signifi-cant(χ^(2)=5.595,P<0.05).The patients in the research group had higher satisfaction with the nursing than the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of nursing intervention for emergency coma patients and the development of pre-hospital emergency nursing are helpful to improve the timeli-ness of emergency treatment for patients,maintain their life safety,and reduce the impact of coma on the health of pa-tients.