急诊护理流程优化对急诊患者抢救效率的影响  

The Influence of Emergency Nursing Process Optimization on the Rescue Efficiency of Emergency Patients

作　　者：石美华 SHI Meihua(Shenyang Hospital of Traditional Chinese Medicine,Shenyang 110000,China)

机构地区：[1]沈阳市中医院,辽宁沈阳110000

出　　处：《中国医药指南》2023年第1期22-25,共4页Guide of China Medicine

摘　　要：目的 分析并观察急诊优化护理流程对急诊患者抢救效率的影响。方法 在2018年3月至2019年3月,将到我院急诊科室进行诊治的108例患者按接诊的相互时间分为观察组和对照组,均为54例。对照组通过急诊科的常规护理实施护理,观察组通过急诊护理流程优化开展干预,对不同护理以后两组患者的抢救效率、并发症发生率、焦虑和抑郁情绪、生活质量、护理满意度等进行统计和比较。结果 (1)观察组的分诊时间、静脉用药时间、心电监护时间、抢救时间、住院时间都明显比对照组更短(P<0.05)。(2)观察组(3例,占5.56%)在并发症发生率方面比对照组(11例,占20.37%)具有更低的水平(P<0.05)。(3)护理前,HAMA评分和HAMD评分两组患者的差异不显著(P>0.05),护理后,观察组的HAMA评分和HAMD评分改善比对照组更显著(P<0.05)。(4)护理前,两组患者的SF-36生活质量量表评分差异不显著(P>0.05),护理后,观察组患者的生活质量评分改善比对照组更好(P<0.05)。(5)观察组(52例,占96.30%)对护理的满意度明显比对照组(45例,占83.33%)更高(P<0.05)。结论 对急诊抢救的患者通过优化急诊护理流程进行干预,可有效提升患者的抢救效率,改善患者的负面心理,进而减少并发症对患者的影响,从而提高患者的整体生活质量和满意度。Objective To analyze and observe the effect of optimized nursing process in emergency on the rescue efficiency of emergency patients.Methods From March 2018 to March 2019, 108 patients who came to the emergency department of our hospital for diagnosis and treatment were divided into observation group and control group according to the mutual time of admission, with 54 cases in both groups. The control group all implemented nursing through routine nursing in the emergency department, while the observation organization implemented intervention through emergency nursing optimization methods. The rescue efficiency, complication rate, anxiety and depression, quality of life, nursing satisfaction, statistics and comparisons are made. Results(1) The triage time, intravenous medication time, ECG monitoring time, rescue time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05).(2) The observation group(3 cases, accounting for 5.56%) had a lower level of complications than the control group(11 cases, accounting for 20.37%)(P<0.05).(3) Before nursing, HAMA score After nursing, the HAMA score and HAMD score of the observation group were improved more significantly than those of the control group(P<0.05).(4) Before nursing, there was no significant difference in the SF-36 quality of life scale scores between the two group(P>0.05). After nursing, the improvement of the quality of life score of the observation group was better than the control group(P<0.05).(5) The observation group(52 cases, accounting for 96.30%) had significantly higher satisfaction with nursing than the control group(45 cases, accounting for 83.33%)(P<0.05). Conclusion By optimizing the emergency nursing process, the intervention of emergency rescue patients can effectively improve the rescue efficiency of patients, reduce the impact of complications on patients, improve the negative psychology of patients, and improve the overall quality of life and satisfaction.

关 键 词：急诊护理流程优化 抢救率 急诊患者 满意度 焦虑 抑郁 生活质量 

分 类 号：R473.5[医药卫生—护理学]