院前急救护理路径在急性左心衰竭患者院前急救护理中的应用效果  

Application of Pre-hospital Emergency Nursing in Acute Left Heart Failure

作　　者：郝佳 HAO Jia(Dalian Emergency Center,Dalian 116021,China)

机构地区：[1]大连市急救中心,辽宁大连116021

出　　处：《中国医药指南》2021年第8期157-158,共2页Guide of China Medicine

摘　　要：目的探讨院前急救护理路径在急性左心衰竭患者院前急救护理中的应用效果。方法选取2018年7月至2020年1月我急救中心接诊的80例急性左心衰竭患者为研究对象,根据随机数字表法分为试验组(n=40)与对照组(n=40)。对照组采用常规急救护理,试验组采用院前急救护理路径。对比两组干预前后心率、血压变化情况与护理满意度,统计患者开始抢救时间、接受专业治疗时间。结果试验组护理满意度与对照组相比更高(P<0.05);通过不同方式进行干预后,两组心率、血压均较干预前明显好转,且试验组干预结果优于对照组(P<0.05);与对照组相比,试验组开始抢救时间、接受专业治疗时间更短(P<0.05)。结论对急性左心衰竭患者实施院前急救护理路径,能够有效控制患者异常的心率、血压,改善患者预后,提高患者的护理满意度。Objective To explore the application effect of the pre-hospital emergency care route in the pre-hospital emergency care of patients with acute left heart failure.Methods We selected 80 patients with acute left heart failure admitted to our emergency center from July 2018 to January 2020 as the research objects,and divided them into the experimental group(n=40)and the control group(n=40)according to the random number table method.The control group used routine emergency care,and the experimental group used pre-hospital emergency care.The changes in heart rate and blood pressure and nursing satisfaction before and after intervention were compared between the two groups,and the time for patients to start rescue and receive professional treatment was counted.Results The nursing satisfaction of the experimental group was higher than that of the control group(P<0.05);after intervention in different ways,the heart rate and blood pressure of the two groups were significantly better than before the intervention,and the intervention result of the experimental group was better than that of the control group(P<0.05);Compared with the control group,the experimental group has shorter time to start rescue and receive professional treatment(P<0.05).Conclusion The implementation of the pre-hospital emergency care path for patients with acute left heart failure can effectively control the patients'abnormal heart rate and blood pressure,improve the prognosis of the patients,and increase the satisfaction of patients with care.

关 键 词：急性左心衰竭 院前急救 护理 心率 血压 护理满意度 

分 类 号：R473.5[医药卫生—护理学]