摘要
目的探讨优化护理在急诊危重患儿抢救中的临床效果。方法选择2014年1月至2015年12月本院急诊科收治的危重患儿108例作为常规护理组,2016年1月至2017年12月收治的危重患儿108例作为优化护理组,对两组患儿的抢救时间、抢救成功率以及接诊、分诊评估、心电图、静脉采血、静脉用药时间进行对比分析,出院后对患儿进行4个月的随访,比较两组患儿的病情转归。结果优化护理组患儿抢救、接诊、分诊评估、心电图、静脉采血、静脉用药时间与常规护理组患儿相比,差异均有统计学意义(P<0.05)。优化护理组患儿的抢救成功率为94.4%(102例),常规护理组患儿的抢救成功率为87.0%(94例),两组差异有统计学意义(P<0.05)。经过随访,末次随访时间为2018年4月,优化护理组存活的102例患儿中有4例(3.9%)患儿遗留神经系统后遗症,常规护理组存活94例患儿中有11例(11.7%)遗留后遗症,包括8例神经系统后遗症和3例肺部后遗症,两组差异有统计学意义(P<0.05)。结论优化护理可以缩短急诊危重患儿的抢救、接诊、分诊评估、心电图、静脉采血、静脉用药时间,提高抢救成功率,降低后遗症发生率,值得临床推广应用。
Objective To explore the clinical effect of optimal nursing for critical ill children in the depart ment of emergency. Methods A total of 108 critical ill children from January 2014 to December 2015 in the department of emergency of our hospital were chosen as the group of regular nursing, and a total of 108 critical ill children from January 2016 to December 2017 in the department of emergency of our hospital were chosen as the group of optimal nursing. The rescue time and success rate of rescue, engage patients time, triage time, electrocardiograms time, collecting blood time, intravenous drugs time were compared between the two groups. The 21G critical ill children were followed up for 4 months after hospital dis charge. Results The rescue ＂time and success rate of rescue, engage patients time, triage time, electrocar diograms time, collecting blood time, intravenous drugs time in the optimal nursing group were different from the regular nursing group, the difference was statistically significant（P〈0.05）. The last follow up point was April 2018, 4 （3.9%） in 102 survived children in the optimal nursing group left behind long term neurological sequelae, and 11 （11.7%） in 94 survived children in the regular nursing group left be hind long term sequelae, including 8 neurological sequelae and 3 lung sequelae, the difference was statisti cally significant（P〈0. 05）. Conclusion The optimal nursing can shorten the rescue time, engage patients time, triage time, electrocardiograms time, collecting blood time, intravenous drugs time, and improve the success rate of rescue, decrease the incidence of sequelae, and it is worth of promotion in clinic.
作者
王晓兰
WANG Xiao-lan(Zhengzhou Children＇s Hospital,Zhengzhou,Henan 450000,China)
出处
《青岛医药卫生》
2018年第5期358-361,共4页
Qingdao Medical Journal
关键词
优化护理
急诊
危重患儿
抢救
Optimal nursing
Emergency
Critical ill children
Rescue
