全程护理在急诊危重患者抢救中应用探讨.docVIP

全程护理在急诊危重患者抢救中应用探讨 　　[摘要] 目的 探讨全程护理在急诊危重患者抢救中的应用效果。方法 分析该院2014年3月―2015年3月急诊科收治的危重症患者80例临床资料，依据护理措施进行分组，对照组40例和全程护理组40例。 结果 全程护理组抢救时间、心肺复苏时间、气管插管时间均优于对照组，t=6.17、11.44、10.54，全程护理组危重症患者痰液堵塞诱发的呼吸困难或者窒息、气管插管发生移位、氧气供应中断、各种管道脱落或者堵塞、坠床及风险事件发生率均低于对照组，χ2=10.53、7.79、7.79、7.79、7.79、50.00，全程护理组危重症患者服务态度满意度、护理操作技术满意度、抢救过程满意度、沟通水平满意度、接受和急送患者满意度、安全和舒适转运满意度均低于对照组，χ2=22.22、16.22、10.53、16.22、22.22、22.22，P0.05，差异均有统计学意义。结论 全程护理在急诊危重患者抢救中的应用效果明显，值得临床推广应用。 　　[关键词] 全程护理；急诊；危重症；抢救；应用 　　[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-0742（2016）03（b）-0133-03 　　[Abstract] Objective To explore the application effect of whole nursing in the emergency rescue of critically ill patients. Methods The clinical data of 80 critical illness patients admitted in the Emergency Department of our hospital from March 2014 to March 2015 were analyzed. The patients were divided into the control group and the whole nursing group with 40 cases in each in accordance with the nursing intervention. Results The rescue time， cardiopulmonary resuscitation time， trachea cannula time in the whole nursing group was shorter than that in the control group， respectively， t = 6.17， 11.44， 10.54. The dyspnea or asphyxia due to sputum blockage， shifting of endotracheal intubation， oxygen supply disruptions， different pipes shedding or blockage， drop of bed and incidence of risk events in the whole nursing group was lower than that in the control group， respectively， χ2 =10.53， 7.79， 7.79， 7.79， 7.79， 50.00. The level of satisfaction with nursing service， nursing operation technology， rescue process， communication level， acceptance or emergency supplies， safety and comfortable transport in the whole nursing group was higher than that in the control group， respectively， χ2 = 22.22， 16.22， 10.53， 16.22， 22.22， 22.22， P0.05. Conclusion The application result of whole nursing in the rescue of emergency critical illness is obvious， which is worthy of clinical application and promotion. 　　[Key words] Whole nursing； Emergency； Critical il