精细化护理在老年急危重症患者中的应用效果(1)
[摘要]目的 探讨老年急危重症患者急救护理中开展精细化护理干预的效果及意义。方法 择取2017年11月～2018年10月我院重症医学科收治的110例老年急危重症患者，按照随机数字表法分为对照组和观察组，每组各55例。对照组行急危重症常规急救护理，观察组行危机重症精细化护理干预，对两组的护理总满意度、抢救成功率、接诊时间、抢救护理时间、急救室停留时间、住院时间等进行比较。结果 观察组抢救成功率为98.18%，高于对照组87.27%，护理总满意度为94.55%，高于对照组81.82%，差异有统计学意义(P<0.05);观察组的接诊时间、抢救护理时间、急救室停留时间、住院时间均短于对照组，差异有统计学意义(P<0.05)。结论 老年急危重症患者急救护理干预中实施精细化护理可有效缩短患者急救时间和急救室停留时间，提升患者治疗效果，对患者临床预后具有积极影响，该种护理方式值得在临床推广应用。
[关键词]精细化护理;老年患者;急危重症;急救护理
[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-4721(2019)7(c)-0234-03
[Abstract] Objective To explore the effect and significance of fine nursing intervention in the emergency care of elderly patients with acute critical illness. Methods A total of 110 elderly critically ill patients admitted to the Department of Critical Care Medicine from November 2017 to October 2018 were selected and divided into the control group and the observation group according to random number table method， 55 cases in each group. The patients in the control group underwent routine critical care for emergency and critical care. The patients in the observation group underwent fined nursing interventions. The total satisfaction of the two groups of patients， the success rate of rescue， the time of receiving， the time of rescue， the time of stay in the emergency room， the length of hospital stay， etc indicators were compared. Results The success rate of rescue in the observation group was 98.18% higher than that in the control group 87.27%， and the nursing total satisfaction was 94.55% higher than that in the control group 81.82%， the differences were statistically significant (P<0.05). The receiving time， rescue and nursing time， emergency room stay time and hospitalization time of the observation group were all shorter than those of the control group， with statistical differences (P<0.05). Conclusion The implementation of fine nursing in the emergency nursing intervention for elderly patients with acute and critical illness can effectively shorten the time of first aid and stay in the emergency room， improve the treatment effect of patients， and have a positive impact on the clinical prognosis of patients， so this nursing method is worth promoting in clinical application.
[Key words] Fined nursing; Elderly patients; Critical illness; Emergency care
我國是目前全球范围内老年人口数量最多的国家，且我国老龄化问题还在不断的加剧，导致各种老年性疾病发病率不断增加，不仅对老年患者的健康造成了严重的负面影响，同时也导致我国社会经济发展趋势发生一定改变[1]。国内外有研究显示，社会经济和生态环境的极大转变导致老年人群发生急危重症疾病的风险增加，加之老年群体身体各项生理机能逐渐衰退，免疫力、抵抗力低下，合并高血压、糖尿病、冠心病等多种慢性进展性基础性疾病，其健康状况较差，这就要对老年患者提供精细化、合理化及有效化急救护理模式，保证患者抢救成功率[2-4]。为探讨精细化护理干预对老年急危重症患者的影响，本研究择取110例患者开展研究，现报道如下。, 百拇医药(陈文样)
[关键词]精细化护理;老年患者;急危重症;急救护理
[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-4721(2019)7(c)-0234-03
[Abstract] Objective To explore the effect and significance of fine nursing intervention in the emergency care of elderly patients with acute critical illness. Methods A total of 110 elderly critically ill patients admitted to the Department of Critical Care Medicine from November 2017 to October 2018 were selected and divided into the control group and the observation group according to random number table method， 55 cases in each group. The patients in the control group underwent routine critical care for emergency and critical care. The patients in the observation group underwent fined nursing interventions. The total satisfaction of the two groups of patients， the success rate of rescue， the time of receiving， the time of rescue， the time of stay in the emergency room， the length of hospital stay， etc indicators were compared. Results The success rate of rescue in the observation group was 98.18% higher than that in the control group 87.27%， and the nursing total satisfaction was 94.55% higher than that in the control group 81.82%， the differences were statistically significant (P<0.05). The receiving time， rescue and nursing time， emergency room stay time and hospitalization time of the observation group were all shorter than those of the control group， with statistical differences (P<0.05). Conclusion The implementation of fine nursing in the emergency nursing intervention for elderly patients with acute and critical illness can effectively shorten the time of first aid and stay in the emergency room， improve the treatment effect of patients， and have a positive impact on the clinical prognosis of patients， so this nursing method is worth promoting in clinical application.
[Key words] Fined nursing; Elderly patients; Critical illness; Emergency care
我國是目前全球范围内老年人口数量最多的国家，且我国老龄化问题还在不断的加剧，导致各种老年性疾病发病率不断增加，不仅对老年患者的健康造成了严重的负面影响，同时也导致我国社会经济发展趋势发生一定改变[1]。国内外有研究显示，社会经济和生态环境的极大转变导致老年人群发生急危重症疾病的风险增加，加之老年群体身体各项生理机能逐渐衰退，免疫力、抵抗力低下，合并高血压、糖尿病、冠心病等多种慢性进展性基础性疾病，其健康状况较差，这就要对老年患者提供精细化、合理化及有效化急救护理模式，保证患者抢救成功率[2-4]。为探讨精细化护理干预对老年急危重症患者的影响，本研究择取110例患者开展研究，现报道如下。, 百拇医药(陈文样)