新型护理干预在阶梯式亚低温治疗心肺复苏患者脑复苏中的应用效果  

The clinical effect of new nursing intervention in the treatment of cerebral resuscitation in patients with cardiopulmonary resuscitation underwent stepwise hypothermia therapy

作　　者：杨锁柱[1] 费东生[1] YANG Suozhu;FEI Dongsheng(Intensive Care Unit,the First Affiliated Hospital of Harbin Medical University,Heilongjiang Province,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院重症医学科,黑龙江哈尔滨150001

出　　处：《中国医药导报》2018年第20期141-144,共4页China Medical Herald

基　　金：黑龙江省卫生厅科研课题(2013019)

摘　　要：目的探讨新型护理干预在阶梯式亚低温治疗心肺复苏患者脑复苏中的临床效果。方法选择2015年6月~2017年6月哈尔滨医科大学附属第一医院收治的接受阶梯式亚低温治疗心肺复苏的患者90例作为研究对象,采取随机数字表法分为对照组与观察组,每组各45例,对照组给予常规护理,观察组在对照组基础上给予新型护理干预。比较两组并发症发生率、Barthel指数及护理满意度。结果观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组神经反应指数、痛感指数、语言指数、躯体活动指数、心理状态及社会活动指数均高于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论将新型护理干预应用于阶梯式亚低温治疗心肺复苏患者脑复苏患者中能够降低并发症发生率,提高Barthel指数和提高患者护理满意度。Objective To explore the clinical effect of new nursing intervention in the treatment of cerebral resuscita-tion in patients with cardiopulmonary resuscitation(CPR)underwent stepwise hypothermia therapy.Methods A total of 90 patients underwent stepwise hypothermia therapy in CPR in the First Affiliated Hospital of Harbin Medical Universi-ty from June 2015 to June 2017 were selected as the research objects and divided into the control group and the obser-vation group by random number table,with 45 cases in each group.The control group was given routine nursing inter-vention and the observation group was given new nursing intervention on the basis of control group.The incidence of complications,Barthel index and nursing satisfaction were compared between the two groups.Results The incidence of complications in the observation group was higher than that of control group,with statistically significantly difference(P<0.05).The neural response index,pain index,language index,physical activity index,mental state and social activity index in the observation group were all higher than those of control group,with statistically significantly differences(P<0.05).The nursing satisfaction in the observation group was higher than that of control group,with statistically signifi-cantly difference(P<0.05).Conclusion The new nursing intervention can reduce the incidence of complications,pro-mote the Barthel index and improve nursing satisfaction in patients underwent stepwise hypothermia therapy in CPR.

关 键 词：新型护理干预 阶梯式亚低温 心肺复苏 脑复苏 

分 类 号：R473.54[医药卫生—护理学]