摘要
目的研究冠心病重症监护室(CCU)老年危重症心力衰竭患者应用标准化护理程序的临床意义。方法选取2016年11月-2018年11月期间我院CCU收治的80例老年危重症心力衰竭患者,依照CCU收治顺序分为两组。研究组(n=40)按照标准化护理程序进行干预,对照组(n=40)按照我院基础护理程序进行干预。评价及对比两组的心率(HR)、血压水平、院内反应时长、急救反应时长以及治疗结局。结果研究组的HR、舒张压、收缩压水平均低于对照组(P<0.05);研究组的院内反应时长、急救反应时长均短于对照组(P<0.05);研究组的致残率、致死率低于对照组(P<0.05)。结论对冠心病重症监护室(CCU)老年危重症心力衰竭患者实施标准化护理程序,可达到减缓心率、降低血压的目的,缩短院内和急救反应时长,在最大限度上降低致残、致死风险。
Objective To study the clinical significance of standardized nursing procedures for elderly patients with critical heart failure in coronary heart disease intensive care unit(CCU).Methods 80 elderly patients with critical heart failure admitted and treated by CCU in our hospital from November 2016 to November 2018 were selected and divided into two groups according to the order of admission and treatment of CCU.The study group(n=40)conducted intervention in accordance with the standardized nursing procedures,and the control group(n=40)conducted intervention in accordance with the basic nursing procedures of our hospital.The heart rate(HR),blood pressure level,hospital response time,emergency response time and treatment outcome of the two groups were evaluated and compared.Results The levels of HR,diastolic blood pressure and systolic blood pressure in the study group were all lower than those in the control group(P<0.05).The hospital response time and emergency response time of the study group were both shorter than those of the control group(P<0.05).The disability and mortality rates of the study group were lower than those of the control group(P<0.05).Conclusion Standard nursing procedures for elderly patients with heart failure with critical illness in coronary heart disease intensive care unit(CCU)can reduce heart rate and blood pressure,shorten hospital and emergency response time,and reduce the risk of disability and death to the greatest extent.
作者
赵蓉
ZHAO Rong(Department of Cardiovascular Medicine,The Second People's Hospital of Jiaozuo (The First Affiliated Hospital of Henan Polytechnic University),Jiaozuo 454001,Henan Province,China)
出处
《罕少疾病杂志》
2019年第5期94-96,共3页
Journal of Rare and Uncommon Diseases
关键词
危重症心力衰竭
CCU
标准化护理程序
Critical Illness Heart Failure
CCU
Standardized Nursing Procedures
