急门诊护士在猝死患者急救与护理中的作用  

The Role of Emergency Nurses in the First Aid and Care of Patients with Sudden Death

作　　者：查魏玲 CHA Weiling(Suzhou BOE Hospital Outpatient Department,Suzhou 215200,China)

机构地区：[1]苏州京东方医院门诊,江苏苏州215200

出　　处：《中华灾害救援医学》2024年第10期1241-1244,共4页Chinese Journal of Disaster Medicine

基　　金：常熟市科技发展计划项目(CS202028)。

摘　　要：目的探索对于猝死患者,急门诊护士有效急救措施与护理方案的临床价值。方法回顾性分析2021年5月至2024年5月苏州京东方医院抢救的60例猝死患者的临床资料。根据是否有经过专业培训的急门诊护士参与急救,将2021年5月至2022年8月的30例猝死患者设置为对照组,2022年9月至2024年5月的30例猝死患者设置为观察组。比较两组患者猝死地点和目击者的分布情况、急救所需时间、急救效果以及生命体征。结果两组猝死患者在猝死地点和目击者分布方面均无显著差异(P>0.05)。研究发现,两组患者猝死地点主要在户外,分别占43.33%和46.67%;第一目击者主要为路人,分别占50.00%和43.33%。观察组猝死患者护理人员从到达现场到开始除颤时间(P<0.001)、猝死到开始胸外按压时间(P=0.002)均显著短于对照组患者;对观察组猝死患者行胸外按压持续时间(P<0.001)显著长于对照组患者。观察组猝死患者中19例心跳恢复,急救有效率为63.33%(19/30),显著高于对照组猝死患者10例心跳恢复,急救有效率为13.33%(10/30)。复苏后即刻测量两组猝死患者的收缩压(Systolic Blood Pressure,SBP)、血氧饱和度(Oxygen Saturation,SpO_(2))水平均无显著差异(P>0.05)。复苏后10min,两组猝死患者的SBP、SpO_(2)水平均升高;观察组猝死患者的SBP、SpO_(2)水平显著高于对照组猝死患者(P<0.05)。结论猝死多发生于户外,第一目击者主要为路人。由经过专业培训的急门诊护理人员在第一时间给予猝死患者有效的抢救和护理,可显著缩短急救所需时间,提高患者的生存率,改善患者的生命体征。Objective To explore the clinical value of effective first aid measures and nursing plans for emergency outpatient nurses in patients with sudden death.Methods The clinical data of 60 patients with sudden death in Suzhou BOE Hospital from May 2021 to May 2024 were retrospectively analyzed.According to whether professional training is conducted,30 patients with sudden death from May 2021 to August 2022 were set as the control group,and 30 patients with sudden death from August 2022 to May 2024 were set as the observation group.The distribution of sudden death sites and witnesses,the time required for first aid,the effect of first aid,and the vital signs of patients in the two groups were compared.Results There was no significant difference between the two groups in terms of the location of sudden death and the distribution of witnesses(P>0.05).The sites of sudden death were mainly outdoors,accounting for 43.33%and 46.67%,respectively.The first witnesses were mainly passers-by,accounting for 50.00%and 43.33%respectively.The time from arrival to the start of defibrillation in the observation group(P<0.001)and the time from sudden death to the start of chest compressions(P=0.002)were significantly shorter than those in the control group.The duration of chest compressions in the observation group(P<0.001)was significantly longer than that in the control group.The effective rate of first aid was 63.33%(19/30)among the 19 subjects in the observation group,which was significantly higher than that of the 10 cases in the control group,and the effective rate of first aid was 13.33%(10/30).Immediately after resuscitation,there was no significant difference in SBP and SpO_(2) levels between the two groups(P>0.05).10 min after resuscitation,the levels of SBP and SpO_(2) in the two groups increased.The levels of SBP and SpO_(2) in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Sudden death mostly occurs outdoors,with passers-by being the primary first witnesses Professionally

关 键 词：猝死 急诊室 医院 急救 急救医学 

分 类 号：R473[医药卫生—护理学]