优化急救护理流程对急诊心肺复苏患者的影响  

Impact of optimizing emergency nursing processes on patients with emergency cardiopulmonary resuscitation

作　　者：张凯旋 ZHANG Kai-xuan(Emergency Department,Tianjin Baodi District People's Hospital,Tianjin 301800,China)

机构地区：[1]天津市宝坻区人民医院急诊科,天津301800

出　　处：《中国城乡企业卫生》2025年第1期186-188,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 探讨优化急救护理流程对急诊心肺复苏患者的影响。方法 选取2019年1月—2020年1月天津市宝坻区人民医院急诊行心肺复苏患者80例,以随机数字表法分为对照组和观察组各40例。对照组给予常规护理,观察组实施优化急救护理流程。比较两组护理前后心室率和动脉压水平、心肺复苏成功率和存活率、急诊球囊扩张的时间、分诊的时间、恢复自主循环的时间以及恢复自主呼吸的时间。结果 护理前,两组心室率和动脉压水平比较,差异无统计学意义(P>0.05);护理后,两组心室率和动脉压水平均提升,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组心肺复苏成功率和存活率分别是97.50%和97.50%,高于对照组的85.00%和82.50%,差异均有统计学意义(P<0.05)。观察组急诊球囊扩张的时间、分诊的时间、恢复自主循环的时间、恢复自主呼吸的时间均短于对照组,差异均有统计学意义(P<0.05)。结论 急诊心肺复苏患者实施优化急救护理流程效果确切,有利于缩短救治的时间和加速患者病情的恢复,提高复苏成功率和降低死亡率,值得临床推广和应用。Objective To explore the influence of optimizing emergency nursing process on patients with emergency cardiopulmonary resuscitation.Methods Eighty patients who underwent emergency cardiopulmonary resuscitation at Tianjin Baodi District People's Hospital from January 2019 to January 2020 were selected and divided into control group and observation group,with 40 patients in each group,using a random number table method.The control group received routine nursing,while the observation group implemented optimized emergency nursing processes.The ventricular rate and arterial pressure levels before and after nursing,success rate and survival rate of cardiopulmonary resuscitation,time to emergency balloon expansion,triage,return to spontaneous circulation,and return to spontaneous breathing between two groups were compared.Results There were no statistically significant differences in ventricular rate and arterial pressure levels between the two groups before nursing(P>0.05).After nursing,the ventricular rate and arterial pressure levels were improved in both groups,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The success rate and survival rate of cardiopulmonary resuscitation in the observation group were 97.50%and 97.50%,respectively,which were higher than those in the control group with 85.00%and 82.50%,and the difference were statistically significant(P<0.05).The time to emergency balloon dilation,triage,return to autonomous circulation,and return to spontaneous breathing were shorter than those of the control group,and the differences were statistically significant (P<0.05).Conclusion The optimizing emergency nursing processes for patients withemergency cardiopulmonary resuscitation was effective,which was beneficial to shorten the treatment time,accelerate the recovery of patients' disease condition,improve the resuscitation success rate and reduce themortality,and was worthy of clinical promotion and application.

关 键 词：优化急救护理流程 急诊心肺复苏 急诊球囊扩张时间 分诊时间 不良反应 存活率 

分 类 号：R473[医药卫生—护理学]