优化急诊护理流程对脑出血昏迷患者急救效率急救结局的影响  

The Effect of Optimizing Emergency Care Process on First Aid Efficiency and First Aid Outcomes of Coma Patients with Cerebral Hemorrhage

作　　者：杨延洁 YANG Yanjie(Yellow River Sanmenxia Hospital Neurological Intensive Care Unit,Sanmenxia 472000,China)

机构地区：[1]黄河三门峡医院神经重症监护病房,河南三门峡472000

出　　处：《中华灾害救援医学》2024年第9期1107-1109,共3页Chinese Journal of Disaster Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20200779)。

摘　　要：目的分析优化的急诊护理流程在急诊脑出血昏迷患者中的应用效果。方法回顾性选取2023年2月至2024年2月在黄河三门峡医院进行治疗的76例脑出血昏迷患者,根据护理流程不同分为观察组与对照组,观察组采用优化急诊护理,对照组采用常规急诊护理,每组各38例。比较两组患者的急救时效、神经功能、日常生活能力、急救效果、护理满意情况。结果观察组患者急救过程中分诊评估、静脉用药、CT检查、急救总时效性均显著优于对照组(P<0.001)。干预前,两组患者美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、日常生活能力Barthel评分无显著差异(P均>0.05);经过护理干预后,两组患者NIHSS评分、Barthel评分均改善(P<0.001),且观察组NIHSS评分比对照组低(P<0.001),Barthel评分比对照组高(P<0.001)。另外,观察组抢救成功率和护理满意度均显著高于对照组(P均<0.05)。结论优化的急诊护理流程可有效提高急救的时效性,促进神经功能和日常生活能力的恢复,有利于提高抢救的成功率,增加患者对护理的满意程度。Objective To analyze the effectiveness of an optimized emergency care process in the treatment of comatose patients with intracerebral hemorrhage.Methods A retrospective study was conducted on 76 comatose patients with intracerebral hemorrhage admitted to Yellow River Sanmenxia Hospital from February 2023 to February 2024.The patients were divided into an observation group(optimized emergency care,n=48)and a control group(conventional emergency care,n=48)based on different nursing protocols.The emergency response time,neurological function,activities of daily living,emergency outcomes,and nursing satisfaction were compared between the two groups.Results During the emergency care process,the observation group showed significantly better performance in triage assessment,intravenous medication administration,CT examination,and overall emergency response time compared to the control group(P<0.001).Before the intervention,there were no significant differences in NIHSS scores for neurological function or Barthel Index scores for daily living abilities between the two groups(P>0.05).After nursing intervention,both groups showed improvements in NIHSS and Barthel scores(P<0.001),with the observation group having lower NIHSS scores(P<0.001)and higher Barthel scores(P<0.001)than those of the control group.The observation group also had significantly higher rescue success rates and nursing satisfaction levels compared to the control group(P<0.05).Conclusion The optimized emergency care process effectively enhances the timeliness of emergency interventions,promotes recovery of neurological function and activities of daily living,increases the success rate of emergency rescues,and improves patient satisfaction with nursing care.

关 键 词：急诊处理 脑出血 昏迷 自主神经功能异常 家族性 

分 类 号：R459.7[医药卫生—急诊医学]