院前院内无缝隙一体化急救护理模式在急性CO中毒患者护理中的应用效果  

Effect of the pre-hospital and in-hospital seamless integrated emergency nursing model in patients with acute carbon monoxide poisoning

作　　者：万春艳 张宇超 Wan Chunyan;Zhang Yuchao(Emergency Department,the First Affiliated Hospital of Henan University of Science and Technology(New District Hospital),Luoyang Henan 471000,China;Emergency Department,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471000,China)

机构地区：[1]河南科技大学第一附属医院新区医院急诊科,河南洛阳471000 [2]河南科技大学第一附属医院急诊科,河南洛阳471000

出　　处：《保健医学研究与实践》2022年第7期93-97,共5页Health Medicine Research and Practice

摘　　要：目的探讨院前院内无缝隙一体化急救护理模式在急性一氧化碳(CO)中毒患者护理中的应用效果。方法选取2018年10月—2020年10月河南省某医院收治的80例急性CO中毒患者为研究对象。按照患者入院时间分为常规急救组和一体化急救组,每组40例。常规急救组患者(2018年10月—2019年9月入院患者)采用常规急救护理,一体化急救组患者(2019年10月-2020年10月入院患者)采用院前院内无缝隙一体化急救护理模式干预。比较2组患者急救效果,包括死亡率、好转率及治愈率。比较2组患者并发症发生情况。比较2组患者院前院内急救时间、症状消失时间、住院时间。患者出院时采用纽卡斯尔护理服务满意度调查量表(NSNS)评估2组患者家属对护理工作的满意度。结果一体化急救组患者死亡率、好转率为5.00%、22.50%,低于常规急救组的22.50%、45.00%,差异有统计学意义(P<0.05)。一体化急救组患者痊愈率为72.50%,高于常规急救组的32.50%,差异有统计学意义(P<0.05)。一体化急救组患者并发症发生率为7.89%,低于常规急救组的35.48%,差异有统计学意义(P<0.05)。一体化急救组患者院前院内急救时间、症状消失时间及住院时间短于常规急救组,差异均有统计学意义(P<0.05)。一体化急救组家属护理工作满意度为97.37%,高于常规急救组的77.42%,差异有统计学意义(P<0.05)。结论院前院内无缝隙一体化急救护理模式应用于急性CO中毒患者护理中,一方面能提高急救效果,促进患者快速康复,另一方面可减少患者并发症的发生,提高家属对护理工作的满意度,值得临床推广应用。Objective To explore the effect of the pre-hospital and in-hospital seamless integrated emergency nursing model in patients with acute carbon monoxide(CO)poisoning.Methods A total of 80 patients with acute CO poisoning admitted to a hospital from October 2018 to October 2020 were selected as the study subjects and were allocated into the routine first aid group(n=40)and the integrated first aid group(n=40)by admisson time.Patients in the routine first aid group(patients admittde from October 2019 to October 2020)received conventional emergency nursing,and patients in the integrated first aid group(patients admittde from October 2019 to October 2020)the prehospital seamless integrated emergency nursing.The effects of first aid,including mortality,improvement and cure rates,were compared between the two groups.Complications were compared between the 2 groups.The pre-hospital and in-hospital emergency time,symptom disappearance time,and hospital stay were compared between the 2 groups.The Newcastle Satisfaction with Nursing Scale(NSNS)was used to assess the satisfaction of family members with nursing in the 2 groups at discharge.Results The mortality and improvement rates of patients in the integrated first aid group were 5.00%and 22.50%,repectively,which were lower than those in the routine first aid group(22.50%and 45.00%,respectively),with statistically significant differences(P<0.05).The cure rate of patients in the integrated first aid group was 72.50%,which was higher than that in the routine first aid group(32.50%),and the difference was statistically significant(P<0.05).The incidence of complications in the integrated first aid group was 7.89%,which was lower than that in the routine first aid group(35.48%),and the difference was statistically significant(P<0.05).The pre-hospital and in-hospital first aid time,symptom disappearance time and hospital stay of the patients in the integrated first aid group were shorter than those in the routine first aid group,and the differences were statistically significant(

关 键 词：急性一氧化碳中毒 院前院内无缝隙一体化急救护理 满意度 

分 类 号：R749[医药卫生—神经病学与精神病学]