CCU护理干预对心脏骤停行心肺复苏患者预后的影响  

Influence by CCU nursing intervention on prognosis of sudden cardiac arrest patients receiving cardiopulmonary resuscitation

作　　者：陆婉晖[1] 

机构地区：[1]广州市第一人民医院鹤洞分院,510380

出　　处：《中国实用医药》2016年第18期215-217,共3页China Practical Medicine

基　　金：深圳市科技计划(项目编号:JCYJ20150402161136235)

摘　　要：目的探讨CCU护理干预对心脏骤停行心肺复苏患者预后的影响。方法 60例心脏骤停行心肺复苏患者,随机分为观察组与对照组,每组30例。对照组心肺复苏期间行常规性护理,观察组心肺复苏期间应用急诊护理干预。比较分析两组患者的临床护理效果。结果观察组术后呼吸机辅助支持时间(11.02±2.36)d、住CCU时间(5.02±0.58)d短于对照组的(15.22±3.45)d、(7.69±2.11)d(P<0.05),观察组术后动脉压(9.89±2.02)k Pa、心率(102.33±8.45)次/min高于对照组的(7.02±2.45)k Pa、(86.22±7.44)次/min(P<0.05)。观察组干预后焦虑症状量表(SAS)评分(30.22±2.85)分及抑郁症状量表(SDS)评分(32.22±4.02)分低于对照组(38.12±3.02)分、(38.15±4.66)分(P<0.05)。观察组心房颤动、胸部不适、抽搐、记忆减退、反应迟钝发生率分别为0、0、3.33%、3.33%、3.33%,均低于对照组的16.67%、20.00%、23.33%、20.00%、23.33%(P<0.05)。结论 CCU护理干预能有效减轻心脏骤停心肺复苏后焦虑、抑郁症状,改善患者血气指标及心脏功能,降低心肺复苏过程中并发症,有利于促进患者预后。Objective To investigate influence by CCU nursing intervention on prognosis of sudden cardiac arrest patients receiving cardiopulmonary resuscitation. Methods A total of 60 sudden cardiac arrest patients receiving cardiopulmonary resuscitation were randomly divided into observation group and control group, with 30 cases in each group. The control group received conventional nursing during cardiopulmonary resuscitation, and the observation group received emergency nursing intervention during cardiopulmonary resuscitation. Clinical nursing effects were compared between the two groups. Results The observation group had shorter postoperative ventilator auxiliary support time as（11.02±2.36） d and CCU stay time as（5.02±0.58）d than（15.22±3.45） and（7.69±2.11） d of the control group（P〈0.05）. The observation group had higher postoperative arterial pressure as（9.89±2.02） kP a, heart rate as（102.33±8.45）times/min than（7.02±2.45）kP a and（86.22±7.44） times/min than the control group（P〈0.05）. The observation group had lower self-rating anxiety scale（SAS） score after intervention as（30.22±2.85） points and self-rating depression scale（SDS）score as（32.22±4.02） points than（38.12±3.02） and（38.15±4.66） points of the control group（P〈0.05）. The observation group had incidences of auricular fibrillation, chest discomfort, convulsion, hypomnesia and slow in reacting respectively as 0, 0, 3.33%, 3.33%, 3.33%, which were all lower than 16.67%, 20.00%, 23.33%, 20.00%, 23.33% of the control group（P〈0.05）. Conclusion CCU nursing intervention can effectively reduce anxiety and depression after cardiopulmonary resuscitation for sudden cardiac arrest. This method is helpful to accelerate prognosis by improving blood gas indexes, cardiac function and reducing complications during cardiopulmonary resuscitation.

关 键 词：护理干预 心脏骤停 心肺复苏 预后 

分 类 号：R473.5[医药卫生—护理学]