摘要
目的探讨急诊护理对心肺复苏后患者康复效果的具体影响。方法采用随机取样法从2016年7月—2018年5月间该院急诊心肺复苏救治成功的患者中随机抽取出160例作为该课题研究护理的对象,盲分为普通组80例和优质组80例。给予普通组常规急诊护理方案,而在普通组的护理基础上给予优质组实施优质的急诊护理方案。急诊护理后,对照观察两组患者的心理状况,并统计对比其相关生命指标(心率HR、血压BP)及不良反应的发生水平,从而探讨急诊护理对心肺复苏后患者康复效果的具体影响。结果普通组患者经常规急诊护理后的HR(84.31±4.18)次/min、BP 70/40 mmHg与心理状况[(SAS评分:(51.47±6.41)分]均较经优质急诊护理后的优质组的[(105.44±5.24)次/min、91/65 mmHg、(26.76±2.54)分]差,统计组间差异有统计学意义(t=1.654 5、2.460 1、32.054 5,P<0.05);并且普通组患者发生的不良反应(共计17例,分别为6例胸部不适、4例抽搐、5例反应迟钝、2例记忆减退)明显多于优质组(共计3例,分别为2例胸部不适、1例抽搐),判定差异有统计学意义(χ~2=11.433 3,P<0.05)。普通组患者的常规急诊护理有效率为77.50%(62/80)低于优质组的95.00%(76/80),即该指标组间差异有统计学意义(χ~2=10.392 4,P<0.05)。结论不同方案的急诊护理对心肺复苏后患者的康复效果有不同程度的作用影响,优质的急诊护理方案能够更加有效地帮助患者改善相关生命指标、缓解情绪、稳定心态、减少不良反应,从而整体提升心肺复苏后患者的康复效果,也使得急诊护理具有显著的作用意义。
Objective To investigate the specific effects of emergency nursing on the rehabilitation of patients after car- diopulmonary resuscitation. Methods A total of 160 patients who underwent emergency cardiopulmonary resuscitation in the hospital from July 2016 to May 2018 were randomly selected as the subjects of this study. They were blindly divided into 80 patients in the general group and 80 patients in the quality group. The general group of routine emergency care programs were given, and the quality group was given a quality emergency care plan based on the general group＇s care. After emer- gency care, the psychological status of the two groups of patients were observed and compared with the relevant life indica- tors （heart rate HR, blood pressure BP） and the incidence of adverse reactions, so as to explore the specific effects of emergency care on the rehabilitation of patients after cardiopulmonary resuscitation. Results The HR （84.31±4.18）times/min, BP 70/40 mmHg and psychological status [（SAS score： （51.47±6.41）points] in the general group after routine emergency care were better than those in the quality group after quality emergency care [（105.44±5.24）times/min, 91/65 mmHg, （26.76± 2.54） points], the difference between the statistical groups was particularly significant （t=1.654 5, 2.460 1, 32.054 5, P〈0.05）; and the abnormalities occurred in the general group of response （17 cases, 6 cases of chest discmlffort, 4 cases of convul-sions, 5 cases of unresponsiveness, 2 cases of memory loss） were significantly more than the quality group （3 cases in total, 2 cases of chest discomfort, 1 case of convulsions）, the difference was statistically significant （x2=11.433 3, P〈0.05）. The ef- fective rate of routine emergency care in the general group was 77.50% （62/80）, which was lower than 95.00% （76/80） in the high-quality group, which was significant （X2=10.392 4, P〈0.05）. Conclusion The emergency nursing of different regimens has different effects on the rehabilitation effect of patients after cardiopulmonary resuscitation. The high quality emergency nursing program can help patients improve their vital life indicators, ease their mood, stabilize their mentality, reduce adverse reactions, and improve overall. The rehabilitation effect of patients after cardiopuhnonary resuscitation also makes emergency care a significant role.
作者
高菲
GAO Fei(Emergency Department,Huadian Hospital of Jilin Province,Huadian,Jilin Province,132400 China)
出处
《中外医疗》
2018年第31期124-126,共3页
China & Foreign Medical Treatment
关键词
急诊护理
心肺复苏
康复效果
Emergency care
Cardiopulmonary resuscitation
Rehabilitation effect
