摘要
目的:探讨与分析急性左心衰患者急救时采用优化急救护理进行干预的效果及应用价值。方法:选取本院2016年5月-2017年5月接收的急性左心衰患者94例作为研究对象,将其进行奇偶排序,47例奇数患者作为观察组,47例偶数患者作为参照组。观察组采用优化急救护理进行干预,参照组采用常规护理进行干预,观察比较两组急救过程所需及总时间、护理后的焦虑和抑郁评分状况、6 min内步行距离及生命体征情况。结果:观察组分诊评估、心电图、静脉通道建立、采血及急救总时间均明显低于参照组,差异均有统计学意义(P<0.05)。护理后,观察组收缩压、舒张压、心率、左心射血分数(LVEF)水平均明显优于参照组,差异均有统计学意义(P<0.05)。护理后,观察组SAS、SDS评分均明显低于参照组,6 min内步行距离明显高于参照组,差异均有统计学意义(P<0.05)。观察组护理总满意率为97.87%明显高于参照组的80.85%,差异有统计学意义(x^2=15.234,P=0.000)。结论:急性左心衰患者采用优化急救护理进行干预后急救时间极大缩短,提高了患者的生存率,并且有效地改善了患者的血压、心率等,降低了患者的负性情绪,促进了患者的恢复和预后,提高了患者的护理满意度,临床应用价值较高。
Objective:To explore and analyze the intervention effect and application value of optimization of emergency nursing in patients with acute left heart failure.Method:A total of 94 patients with acute left heart failure received in our hospital from May 2016 to May 2017 were selected as the study objects.They were numbered by the odd and even,47 patients with odd number were selected as the observation group and 47 patients with even number were selected as the reference group.The observation group was given the optimization of emergency nursing intervention,the reference group was given routine nursing intervention.The time of first aid and total time,anxiety and depression scores,walking distance within 6 minutes and indicators of vital signs after nursing between the two groups were observed and compared.Result:The time of triage evaluation,electrocardiogram,venous channel establishment,blood collection and first aid total time in the observation group were significantly lower than those in the reference group,the differences were statistically significant(P<0.05).After nursing,the levels of systolic blood pressure,diastolic blood pressure,heart rate and LVEF in the observation group were significantly better than those in the reference group,the differences were statistically significant(P<0.05).After nursing,the SAS and SDS scores of the observation group were significantly lower than those of the reference group,the walking distance within 6 minutes was significantly higher than that of the reference group,the differences were statistically significant(P<0.05).The total satisfaction rate of nursing in the observation group was 97.87%,which was significantly higher than 80.85%in the reference group,the difference was statistically significant(字2=15.234,P=0.000).Conclusion:The optimization of emergency nursing intervention in patients with acute left heart failure can greatly shorten first aid time,improve the survival rate of patients and effectively improve the patient’s blood pressure,heart rate and so o
作者
区雪娥
OU Xuee(Affiliated Hospital of Zhaoqing Medical College,Zhaoqing 526000,China)
出处
《中国医学创新》
CAS
2019年第2期82-85,共4页
Medical Innovation of China
关键词
优化急救护理
急性左心衰
护理满意度
Optimization of emergency nursing
Acute left heart failure
Nursing satisfaction degree
