摘要
目的:观察综合急诊护理干预对脑出血昏迷患者急救效果的影响。方法:选取2022年1月—2023年12月天津市环湖医院收治的78例脑出血昏迷患者作为研究对象,以随机分组法将其分为观察组与对照组,各39例。对照组采用常规急诊护理干预,观察组采用综合急诊护理干预,比较两组急救成功率、临床指标、并发症发生情况、日常生活能力、肢体运动功能及神经功能。结果:观察组抢救成功率为94.87%,高于对照组的74.36%,并发症发生率为5.13%,低于对照组的20.51%,差异均有统计学意义(P<0.05)。观察组病情评估时间、急诊停留时间、抢救时间均短于对照组,差异均有统计学意义(P<0.05)。观察组日常生活活动能力量表评分及Fugl-Meyer运动功能评分均高于对照组,美国国立卫生研究院卒中量表评分低于对照组,差异均有统计学意义(P<0.05)。结论:综合急诊护理干预能够提高脑出血昏迷患者的急救效率,不仅提高了抢救成功率,同时缩短了病情评估、急诊停留与抢救时间,能够减少并发症的发生,促进患者日常生活能力、肢体运动功能及神经功能的康复。
Objective:To investigate the effect of comprehensive emergency nursing intervention on emergency treatment of coma patients with cerebral hemorrhage.Methods:A total of 78 cases of coma patients with cerebral hemorrhage admitted to Tianjin Huanhu Hospital from January 2022 to December 2023 were selected as research objects.They were divided into an observation group and a control group by random grouping method,with 39 cases in each group.The control group was treated with routine emergency nursing intervention,and the observation group was treated with comprehensive emergency nursing intervention.The first aid success rate,clinical indicators,occurrence of complications,daily living ability,limb motor function and nerve function were compared between the two groups.Results:The success rate of rescue in the observation group was 94.87%,which was higher than 74.36%in the control the group,and the complication rate was 5.13%,which was lower than 20.51%in the control group,with statistical significance(P<0.05).The evaluation time,emergency stay time and rescue time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The scores of the Activities of Daily Living Scale and Fugl-Meyer Assessment score of the observation group were higher than those of the control group,and the scores of the National Institutes of Health Stroke Scale were lower than that of the control group,with statistical significance(P<0.05).Conclusion:Comprehensive emergency nursing intervention can improve the emergency treatment efficiency of coma patients with cerebral hemorrhage,not only improve the success rate of rescue,but also shorten the time of disease evaluation,emergency stay and rescue,reduce the occurrence of complications,and promote the rehabilitation of patients’daily living ability,limb motor function and nervous function.
作者
梁爽
LIANG Shuang(Department of Emergency,Tianjin Huanhu Hospital,Tianjin 300000,China)
出处
《中国伤残医学》
2024年第14期157-160,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
脑出血
昏迷
综合急诊护理干预
常规急诊护理
抢救时间
并发症
Cerebral hemorrhage
Coma
Emergency nursing intervention
Routine emergency nursing
Rescue time
Complication
