MEWS指导下改良急诊护理流程对心脏骤停患者ROSC后神经功能及生存情况的影响  

Effects of Improved Emergency Nursing Process under the Guidance of MEWS on Nerve Function and Survival in Cardiac Arrest Patients after ROSC

作　　者：占珊芳 占影芳 吴凡 张香梅 ZHAN Shanfang;ZHAN Yingfang;WU Fan;ZHANG Xiangmei(Emergency Department,Yingtan City People's Hospital,Yingtan 335000,China;不详)

机构地区：[1]鹰潭市人民医院急诊科,江西鹰潭335000 [2]鹰潭市人民医院神经内科,江西鹰潭335000 [3]鹰潭市人民医院肿瘤内科,江西鹰潭335000 [4]鹰潭市人民医院泌尿外科,江西鹰潭335000

出　　处：《中国医学创新》2024年第18期121-125,共5页Medical Innovation of China

摘　　要：目的:探讨改良早期预警评分(modified early waring scores,MEWS)指导下改良急诊护理流程对心脏骤停(cardiac arrest,CA)患者恢复自主循环(return of spontaneous circulation,ROSC)后神经功能及生存情况的影响。方法:选取2022年1月—2023年12月鹰潭市人民医院急诊科收治的82例CA后ROSC的患者,根据入院顺序,将2022年1—12月收治的41例CA后ROSC患者纳入对照组,将2023年1—12月收治的41例CA后ROSC患者纳入研究组。对照组实施常规急诊护理流程,研究组实施MEWS指导下改良急诊护理流程。比较两组48 h存活率和出院存活率;比较两组干预前和干预1、3个月后的美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分。结果:研究组48 h存活率和出院存活率分别为43.90%和34.15%,均显著高于对照组的21.95%和14.63%,差异均有统计学意义(P<0.05)。干预前,两组NIHSS评分比较,差异无统计学意义(P>0.05);干预1个月和3个月后,两组NIHSS评分均明显低于干预前,且研究组均明显低于对照组,差异均有统计学意义(P<0.05)。结论:MEWS指导下改良急诊护理流程可有效改善CA后ROSC患者神经功能和生存情况,可在临床推广应用。Objective:To investigate the effect of improved emergency nursing process under the guidance of modified early waring scores(MEWS)on nerve function and survival in patients with cardiac arrest(CA)after return of spontaneous circulation(ROSC).Method:A total of 82 CA patients after ROSC admitted to the Emergency Department of Yingtan City People's Hospital from January 2022 to December 2023 were selected,according to the order of admission,41 CA patients after ROSC admitted from January to December 2022 were included in the control group,and 41 CA patients after ROSC admitted from January to December 2023 were included in the study group.The control group implemented routine emergency nursing process,and the study group implemented improved emergency nursing process under the guidance of MEWS.48 h survival rate and discharge survival rate were compared between the two groups.The national institute of health stroke scale(NIHSS)scores of the two groups were compared before intervention,1 month and 3 months after intervention.Result:The 48 h survival rate and discharge survival rate of the study group were 43.90%and 34.15%,respectively,which were significantly higher than 21.95%and 14.63%of the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in NIHSS score between the two groups(P>0.05).1 month and 3 months after intervention,NIHSS scores in both groups were significantly lower than those before intervention,and those in the study group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Improved emergency nursing process under the guidance of MEWS can effectively improve the nerve function and survival of CA patients after ROSC,and can be applied in clinical application.

关 键 词：心脏骤停 恢复自主循环 改良早期预警评分 改良急诊护理流程 神经功能 生存情况 

分 类 号：R473.5[医药卫生—护理学]