摘要
目的:探讨急性脑卒中患者急诊急救的有效措施,为提高急性脑卒中患者急诊急救的有效率提供理论依据。方法:选择2015年2月至2017年2月在梅州市人民医院进行急诊急救治疗的72例急性脑卒中患者为研究对象,根据护理措施的不同分为观察组与对照组,每组患者36例,对照组采用常规的护理措施,观察组采用急诊急救护理措施,对2组患者的各项症状和体征进行密切的观察,比较分析2组患者干预前后症状自评量表(SCL-90)评分情况、干预效果情况、满意度情况。结果:干预前,2组患者SCL-90评分比较,差异无统计学意义(P>0.05);干预后,观察组患者SCL-90评分明显优于对照组,观察组患者干预优良率为91.67%,高于对照组的80.56%,观察组患者干预满意度为97.22%,高于对照组的83.33%,差异均有统计学意义(P<0.05)。结论:通过对急性脑卒中患者实施有效的急诊急救措施,可迅速的稳定患者的病情,依据患者病情进行针对性的干预措施,改善了患者的生活质量和临床症状,提高了患者的生存率和安全性,值得推广应用。
Objective： To explore the effective measures of emergency first aid in patients with acute stroke, and to provide theoretical basis for improving the effective rate of emergency first aid. Methods： A total of 72 patients with acute stroke in Meizhou People＇s hospital from Feb 2015 to Feb 2017 were selected as subjects and were divided into observation group and control group according to the different nursing measures, 36 cases in each group. The control group was treated with conventional nursing measures, while the observation group was treated with emergency care measures. The clinical symptoms and signs of all patients were closely observed. Self-rating scale （SCL-90） score, the effect of intervention and the satisfaction degree were analyzed and compared between the two groups. Results： There was no significant difference in SCL-90 scores between the two groups before the intervention （p〉0.05）. After the intervention,the SCL-90 scores of the observation group were better than those of the control group （p〈0.05）. The excellent rate of intervention was 91.67% in the observation group, which was significantly higher than 80.56% in the control group （p〈0.05）. The observation group of patients with nursing satisfaction was 97.22%, which was significantly higher than 83.33% in the control group （p〈0.05）. Conclusions： Application of emergency measures in patients with acute stroke can rapidly stabilize the patients＇ condition, improve the the quality of life and clinical symptoms of the patients, and increase the survival rate and safety of the patients, which is worthy of promoting.
作者
张立仲
陈彬
李向阳
ZHANG Lizhong CHEN Bin LI Xiangyang(Department of Emergency, MeizhouPeople＇sHospital, Meizhou514031, China)
出处
《沈阳医学院学报》
2017年第5期422-423,427,共3页
Journal of Shenyang Medical College
