摘要
目的探讨优化急诊护理流程在老年肿瘤合并急性上消化道出血患者急救护理中的应用效果,为治疗该病提供护理方法。方法选择2018年3月-2019年3月间由120急救系统送至北京世纪坛医院急诊科的142例老年肿瘤急性上消化道出血患者为研究对象,根据护理方案的不同分为观察组(n=72)和对照组(n=70)。观察组患者采取优化急诊护理流程下的护理模式,对照组患者采取常规急诊护理。评估并比较2组患者用药的依从性、生活质量、焦虑程度、护理满意度、抢救成功率、再出血发生率和住院时间。结果观察组患者依从性显著高于对照组(100.00% vs 87.14%,P<0.05)。护理前,2组患者生活质量评分差异无统计学意义(P>0.05)。护理后,2组患者生活质量评分均明显高于同组护理前(P<0.05),且观察组显著高于对照组(P<0.05)。护理前,2组患者焦虑程度评分差异无统计学意义(P>0.05)。护理后,2组患者焦虑程度评分均明显低于同组护理前(P<0.05),且观察组显著低于对照组(P<0.05)。观察组总护理满意度显著高于对照组(98.61% vs 85.71%,P<0.05)。观察组患者抢救成功率显著高于对照组(P<0.05),再出血发生率显著低于对照组(P<0.05),住院时间也显著少于对照组(P<0.05)。结论在老年肿瘤合并急性上消化道出血患者的护理中,通过优化急诊护理流程,可提高急诊护理效果,降低疾病对患者的不良影响,具有一定的临床应用价值。
Objective To explore the application effect of optimizing emergency nursing procedure in emergency nursing care of elderly patients with tumors and acute upper gastrointestinal bleeding.Methods A total of 142 elderly patients with tumors and acute upper gastrointestinal hemorrhage who were sent to the Department of Emergency of Beijing Shijitan Hospital from March 2018 to March 2019 were selected as the research subjects.According to different nursing models,they were divided into the observation group(n=72)and control group(n=70).The patients in the observation group were given the nursing model under the optimized emergency nursing procedure,and patients in the control group were given routine emergency nursing.The medication compliance,quality of life,anxiety degree,nursing satisfaction,rescue success rate,rebleeding rate and hospitalization time of the two groups were evaluated and compared.Results The medication compliance of the observation group was 100.00%,which was significantly higher than that of the control group(87.14%),the difference was statistically significant(P<0.05).There was no significant difference in scores of life quality between the two groups before treatment(P>0.05).After the nursing,the scores of life quality of both groups increased,and the scores of life quality of the observation group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference in anxiety scores between the two groups before treatment(P>0.05).After the nursing,the anxiety scores of the two groups were decreased,and the anxiety scores of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was 98.61%,which was significantly higher than that of the control group(85.71%).The difference was statistically significant(P<0.05).The success rate of rescue of the observation group was significantly higher th
作者
唐淑娟
董博
梁芳
Tang Shujuan;Dong Bo;Liang Fang(Department of Emergency,Beijing Shijitan Hospital,Beijing,100038,P.R.China;Day Ward,Beijing Shijitan Hospital,Beijing,100038,P.R.China)
出处
《老年医学与保健》
CAS
2020年第6期1069-1072,共4页
Geriatrics & Health Care
关键词
老年
肿瘤
急性上消化道出血
优化急诊护理流程
急救护理
optimization of emergency care procedures
elderly
tumor
acute upper gastrointestinal bleeding
emergency care
