急诊护理对心脏骤停患者心肺复苏后患者康复情况及不良反应的影响分析

Effect of Emergency Nursing on Rehabilitation and Adverse Reactions of Patients with Cardiac Arrest after Cardiopulmonary Resuscitation

目的探讨分析急诊护理对心脏骤停患者心肺复苏后患者康复情况及不良反应的影响。方法方便选取该院急诊科于2017年5月—2018年5月这段期间内接收诊治的心脏骤停接受心肺复苏抢救的患者80例作为临床研究对象,以随机对照分组原则分成两组:一组是观察组(40例),对该组实施急诊护理;一组是对照组(40例),对该组实施常规护理;观察比较两组患者的康复情况及不良反应情况。结果干预前两组患者的平均动脉压[(6.08±1.58)k Pa、(6.10±1.47)k Pa]、心率[(41.86±1.52)次/min、(41.72±1.45)次/min]比较均差异无统计学意义(t=0.159、0.962,P>0.05);干预后观察组患者的平均动脉压[(9.64±1.41)k Pa]显著高于对照组患者[(7.33±1.52)k Pa](t=6.112,P<0.05),观察组患者的心率[(82.55±7.04)次/min]显著高于对照组患者[(61.78±9.35)次/min](t=9.053,P<0.05)。观察组患者的住院时间[(6.38±3.56)d]显著短于对照组患者[(7.89±2.78)d](t=4.261,P<0.05)。观察组患者的不良反应发生率(5.0%)显著低于对照组患者(27.5%)(χ~2=5.511,P<0.05)。结论对心脏骤停接受心肺复苏抢救的患者实施急诊护理,可以有效提高患者的康复效果,减少患者的不良反应,值得临床应用及推广。

Objective To investigate the effects of emergency care on rehabilitation and adverse reactions in patients with cardiac arrest after cardiopulmonary resuscitation.Methods 80 patients with cardiopulmonary resuscitation who underwent cardiopulmonary resuscitation during the period from May 2017 to May 2018 were convenient selected as clinical subjects.They were divided into two groups according to the principle of randomization,the observation group(40 cases),and was treated with emergency care;the control group(40 cases),and was given routine nursing;the rehabilitation and adverse reactions of the two groups were observed and compared.Results The mean arterial pressure[(6.08±1.58)k Pa,(6.10±1.47)k Pa]and heart rate[(41.86±1.52)times/min,(41.72±1.45)times/min]were not observed in the two groups before intervention.the difference was not statistically significant(t=0.159,0.962,P>0.05);the mean arterial pressure[(9.64±1.41)k Pa]was significantly higher in the observation group than in the control group[(7.33±1.52)k Pa](t=6.112,P<0.05),the heart rate of the observation group[(82.55±7.04)times/min]was significantly higher than that of the control group[(61.78±9.35)times/min](t=9.053,P<0.05).The length of hospital stay in the observation group[(6.38±3.56)d]was significantly shorter than that in the control group[(7.89±2.78)d](t=4.261,P<0.05).The incidence of adverse reactions(5.0%)was significantly lower in the observation group than in the control group(27.5%)(χ~2=5.511,P<0.05).Conclusion Emergency nursing care for patients with cardiac arrest and cardiopulmonary resuscitation can effectively improve the rehabilitation effect of patients and reduce the adverse reactions of patients.It is worthy of clinical application and promotion.