针对性护理干预在急诊患者心跳呼吸骤停急救中的应用及对患者并发症的影响  

Application of targeted nursing intervention in first aid of cardiac and respiratory arrest in emergency patients and its influence on patients’ complications

作　　者：章玉兰[1] 滕丽君[1] ZHANG Yulan;TENG Lijun(Emergency Department,Jinhua People's Hospital in Zhejiang Province,Jinhua 321099,China)

机构地区：[1]浙江省金华市人民医院急诊科

出　　处：《中国现代医生》2019年第31期152-155,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目（2019KY746）

摘　　要：目的探讨针对性护理干预在急诊患者心跳呼吸骤停急救中的应用及对患者并发症的影响。方法选取2017年1月~2019年1月我院急诊科收治的患者87例,依据不同护理方式分成两组,对照组(n=43)应用常规护理干预,研究组(n=44)联合应用针对性护理干预。观察比较两组在心肺复苏成功所需时间、恢复自主循环时间及恢复自主呼吸时间方面的差异;比较两组相关并发症发生比率、呼吸机使用时长、ICU住院时长及总住院时长差异。结果研究组心肺复苏成功所需时间、恢复自主循环时间及恢复自主呼吸时间均显著短于对照组(P<0.05);研究组总并发症发生率(11.4%)显著低于对照组(30.2%)(P<0.05);研究组呼吸机使用时长、ICU住院时长及总住院时长显著短于对照组(P<0.05)。结论在急诊心跳呼吸骤停患者急救干预的过程中联合应用针对性护理,可显著降低患者发生并发症发生率,加速患者的康复速度,缩短患者的ICU住院时长及总住院时长。Objective To explore the application of targeted nursing intervention in first aid of cardiac and respiratory arrest in emergency patients. Methods A total of 87 patients admitted to the emergency department of our hospital from January 2017 to January 2019 were enrolled. They were divided into two groups according to different nursing methods.The control group(n=43) applied routine nursing intervention, and the study group(n=44) treated with the combined application of targeted nursing interventions. The differences between the two groups in the time required for successful cardiopulmonary resuscitation, spontaneous circulation recovery time and spontaneous breathing recovery time were observed and compared. The incidence of complications and the difference of the ventilator use duration, the length of ICU hospitalization and the length of total hospitalization between two groups were compared. Results The time required for successful cardiopulmonary resuscitation, spontaneous circulation recovery time and spontaneous breathing recovery time were significantly shorter in the study group than those in the control group(P<0.05). The total complication rate in the study group was 11.4%, significantly lower than 30.2% in the control group(P<0.05). The duration of ventilator use, ICU length of hospital stay and total length of hospital stay were significantly shorter in the study group than those in the control group(P<0.05). Conclusion Combined use of targeted nursing in the emergency intervention for emergency cardiac arrest patients can significantly reduce the rate of complications, accelerate the recovery of patients, and shorten the length of ICU hospitalization and total length of hospital stay.

关 键 词：急诊 心跳呼吸骤停 并发症 针对性护理 常规护理 

分 类 号：R473.5[医药卫生—护理学]