急诊护理管理程序在脑出血昏迷患者中的应用效果  

Application effect of emergency nursing management procedures in patients with cerebral hemorrhage coma

作　　者：李欢[1] 万丽霞[1] LI Huan;WAN Li-xia(Department of Emergency,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China)

机构地区：[1]南昌大学第四附属医院急诊科

出　　处：《中国当代医药》2019年第19期219-221,共3页China Modern Medicine

摘　　要：目的探讨急诊护理管理程序对提高脑出血(CH)昏迷患者急救效率和改善急救结局的效果。方法选择2017年10月~2018年9月我院收治的60例CH昏迷患者作为研究对象,采取单双号编号法分成对照组(单号)和观察组(双号),每组各30例。对照组采取常规急诊护理进行救治,观察组采取急诊护理管理程序进行救治。比较两组急救成功率、病情评定时间、急诊抢救时间及入院初始、出院2个月后日常生活能力(Barthel指数)、肢体运动功能(FMA)及神经功能缺损状况(NHISS)评分。结果观察组急救成功率高于对照组,差异有统计学意义(P<0.05);观察组病情评定时间和急诊抢救时间均短于对照组,差异有统计学意义(P<0.05);观察组出院2个月Barthel指数、FMA评分均高于对照组,差异有统计学意义(P<0.05);观察组出院2个月NHISS评分低于对照组,差异有统计学意义(P<0.05)。结论进行急诊护理管理程序治疗CH,急救效率极大提升,急救结局大幅度改善。Objective To explore the effect of emergency nursing management procedures on improving first-aid efficiency and improving first-aid outcome in patients with cerebral hemorrhage(CH) and coma. Methods Sixty patients with CH and coma who were admitted to our hospital from October 2017 to September 2018 were selected as the study subjects. They were divided into the control group (single number) and the observation group (double number) by single and double numbering, 30 cases in each group. The control group was treated with routine emergency care, and the observation group was treated with emergency care management procedures. The success rate of the first two groups, the time of assessment of the disease, the time of emergency treatment, and the initial activities, the ability of daily living (Barthel index), limb motor function (FMA) and neurological deficit (NHISS) scores after 2 months of discharge were compared. Results The success rate of first-aid in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). The assessment time and emergency rescue time of the observation group were shorter than those of the control group, the differences were statistically significant (P<0.05). The Barthel index and FMA score of the observation group were higher than those of the control group at 2 months after discharge, and the differences were statistically significant (P<0.05). The NHISS score in the observation group was lower than that in the control group at 2 months after discharge (P<0.05). Conclusion The emergency nursing management program is used to treat CH, and the first-aid efficiency is greatly improved, and the first-aid outcome can be greatly improved.

关 键 词：急诊护理管理程序 脑出血 昏迷 急救效率 急救结局 

分 类 号：R473.74[医药卫生—护理学]