探究急诊护理干预对心肺复苏后患者康复的影响(1)
【摘要】 目的 探析急诊护理干预对心肺复苏后患者康复的影响。方法 60例心肺复苏患者， 随机分为对照组和观察组， 各30例。对照组使用常规护理， 观察组使用急诊护理干预， 观察比较两组的护理效果及不良反应发生情况。结果 对照组显效11例(36.7%)， 有效12例(40.0%)， 无效7例(23.3%)， 总有效率为76.7%；观察组显效18例(60.0%)， 有效11例(36.7%)， 无效1例(3.3%)， 总有效率为96.7%；观察组总有效率显著高于对照组， 差异有统计学意义(P<0.05)。对照组胸部不适4例(13.3%)， 抽搐2例(6.7%)， 反应迟钝5例(16.7%)， 不良反应发生率为36.7%；观察组胸部不适1例(3.3%)， 抽搐0例(0)， 反应迟钝0例(0)， 不良反应发生率为3.3%；观察组不良反应发生率显著低于对照组， 差异有统计学意义(P<0.05)。结论 对心肺复苏后患者使用急诊护理干预有较好的效果， 能有效降低不良反应发生率， 患者预后更好， 应在临床中予以推行。
【关键词】 急诊护理干预；心肺复苏；康复
DOI：10.14163/j.cnki.11-5547/r.2018.09.096
【Abstract】 Objective To discuss and analyze the effect of emergency nursing intervention on rehabilitation of patients after cardiopulmonary resuscitation. Methods A total of 60 cardiopulmonary resuscitation patients were randomly divided into control group and observation group， with 30 cases in each group. The control group received conventional nursing， and the observation group received emergency nursing intervention. The nursing effect and occurrence of adverse reactions in two groups was observed and compared. Results The control group had 11 excellent cases (36.7%)， 12 effective cases (40.0%) and 7 ineffective cases (23.3%)， with total effective rate as 76.7%， which were 18 cases (60.0%)， 11 cases (36.7%)， 1 case(3.3%) and 96.7% in the observation group. The observation group had significantly higher total effective rate than the control group， and the difference was statistically significant (P<0.05). The control group had 4 cases of chest discomfort (13.3%)， 2 cases of twitch (6.7%) and 5 cases of slow reaction (16.7%)， with incidence of adverse reactions as 36.7%， which were 1 case (3.3%)， 0， 0 and 3.3% in the observation group. The observation group had significantly lower incidence of adverse reactions than the control group， and the difference was statistically significant (P<0.05). Conclusion Application of emergency nursing intervention provides good effect on patients after cardiopulmonary resuscitation， and it can effectively lower the incidence of adverse reactions with better prognosis of patients. It should be promoted in clinic.
【Key words】 Emergency nursing intervention； Cardiopulmonary resuscitation； Rehabilitation
心肺復苏是急救过程中重要的措施之一。心搏骤停一旦发生， 得不到及时抢救复苏， 会造成脑以及其他人体重要器官组织不可逆的损害， 因此心搏骤停后的心肺复苏必须立即进行[1]。据有关资料[2]显示， 心肺复苏在黄金4 min实施抢救成功率为50%。心肺复苏的正确实施与患者的护理质量相关。对此， 本院特选取在本院进行不同护理方式的心肺复苏患者进行回顾性分析， 现报告如下。
1 资料与方法
1. 1 一般资料 选取2015年6月～2017年5月在本院进行治疗的心脏骤停后心肺复苏患者60例， 将其随机划分为对照组和观察组， 各30例。对照组男19例， 女11例；年龄40～72岁， 平均年龄(57.40±5.26)岁；脑出血16例， 急性心肌梗死10例， 一氧化碳中毒3例， 肺栓塞1例。观察组男17例， 女13例；年龄42～70岁， 平均年龄(58.20±4.68)岁；脑出血13例， 急性心肌梗死12例， 一氧化碳中毒3例， 肺栓塞2例。所有患者均签署知情同意书。两组患者一般资料比较差异无统计学意义(P>0.05)， 具有可比性。, 百拇医药(邢惠萍 富霞 梁艳 肖军)
【关键词】 急诊护理干预；心肺复苏；康复
DOI：10.14163/j.cnki.11-5547/r.2018.09.096
【Abstract】 Objective To discuss and analyze the effect of emergency nursing intervention on rehabilitation of patients after cardiopulmonary resuscitation. Methods A total of 60 cardiopulmonary resuscitation patients were randomly divided into control group and observation group， with 30 cases in each group. The control group received conventional nursing， and the observation group received emergency nursing intervention. The nursing effect and occurrence of adverse reactions in two groups was observed and compared. Results The control group had 11 excellent cases (36.7%)， 12 effective cases (40.0%) and 7 ineffective cases (23.3%)， with total effective rate as 76.7%， which were 18 cases (60.0%)， 11 cases (36.7%)， 1 case(3.3%) and 96.7% in the observation group. The observation group had significantly higher total effective rate than the control group， and the difference was statistically significant (P<0.05). The control group had 4 cases of chest discomfort (13.3%)， 2 cases of twitch (6.7%) and 5 cases of slow reaction (16.7%)， with incidence of adverse reactions as 36.7%， which were 1 case (3.3%)， 0， 0 and 3.3% in the observation group. The observation group had significantly lower incidence of adverse reactions than the control group， and the difference was statistically significant (P<0.05). Conclusion Application of emergency nursing intervention provides good effect on patients after cardiopulmonary resuscitation， and it can effectively lower the incidence of adverse reactions with better prognosis of patients. It should be promoted in clinic.
【Key words】 Emergency nursing intervention； Cardiopulmonary resuscitation； Rehabilitation
心肺復苏是急救过程中重要的措施之一。心搏骤停一旦发生， 得不到及时抢救复苏， 会造成脑以及其他人体重要器官组织不可逆的损害， 因此心搏骤停后的心肺复苏必须立即进行[1]。据有关资料[2]显示， 心肺复苏在黄金4 min实施抢救成功率为50%。心肺复苏的正确实施与患者的护理质量相关。对此， 本院特选取在本院进行不同护理方式的心肺复苏患者进行回顾性分析， 现报告如下。
1 资料与方法
1. 1 一般资料 选取2015年6月～2017年5月在本院进行治疗的心脏骤停后心肺复苏患者60例， 将其随机划分为对照组和观察组， 各30例。对照组男19例， 女11例；年龄40～72岁， 平均年龄(57.40±5.26)岁；脑出血16例， 急性心肌梗死10例， 一氧化碳中毒3例， 肺栓塞1例。观察组男17例， 女13例；年龄42～70岁， 平均年龄(58.20±4.68)岁；脑出血13例， 急性心肌梗死12例， 一氧化碳中毒3例， 肺栓塞2例。所有患者均签署知情同意书。两组患者一般资料比较差异无统计学意义(P>0.05)， 具有可比性。, 百拇医药(邢惠萍 富霞 梁艳 肖军)