浅谈预见性护理在急诊科脑卒中患者应用.docVIP

浅谈预见性护理在急诊科脑卒中患者应用 　　DOI：10.16662/j.cnki.1674-0742.2017.09.138 　　[摘要] 目的 分析急?\科脑卒中患者护理中应用预见性护理的价值，观察应用预见性护理后的抢救效果。 方法 方便选择该院急诊科2013年5月―2016年10月收治的脑卒中患者136例，随机抽取68作为实验组，给予预见性护理，剩余68例作为对照组，给予常规护理，观察两组患者治疗期间并发症发生情况，患者出院前，以该科室自制的问卷调查两组患者对护理满意度。 结果 经护理后，实验组并发症发生率10.3%，对照组并发症发生率23.5%，实验组低于对照组，差异有统计学意义（P0.05）。实验组服务态度（96.8±2.4）分、护理操作（95.7±2.6）分、沟通技巧（93.8±3.2）分、病房护理（95.9±2.1）分，对照组服务态度（91.2±2.2）分、护理操作（89.6±2.8）分、沟通技巧（87.2±3.1）分、病房护理（90.4±2.5）分，实验组护理满意度高于对照组，差异有统计学意义（P0.05）。结论 急诊科脑卒中患者护理中，应用预见性护理后，可促使护理人员主动预防并发症，减少并发症发生，提升救治效果，降低病死率，促进患者痊愈，改善患者预后情况，提高患者对护理的满意程度，具有非常高的临床应用价值。 　　[关键词] 预见性护理；急诊科；脑卒中；应用 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）03（c）-0138-03 　　Analysis of Application of Predictive Nursing in Stroke Patients in the Department of Emergency 　　ZHANG Ying 　　Department of Emergency， Xiamen Fifth Hospital， Xiamen， Fujian Province， 361101 China 　　[Abstract] Objective To analyze the application value of predictive nursing in stroke patients in the department of emergency and observe the rescue effect after the application of predictive nursing. Methods Convenient selection 136 cases of stroke patients admitted and treated in the department of emergency in our hospital from May 2013 to October 2016 were selected and randomly divided into two groups with 68 cases in each， the experimental group were given the predictive nursing， while the control group were given the routine nursing， and the occurrence of complications during the treatment period was observed， and before the patients were discharged， the nursing satisfactory degree of the two groups was surveyed by the self-made questionnaires. Results After nursing， the incidence rate of complications in the experimental group was lower than that in the control group，（10.3% vs 23.5%）， and the difference was obvious with statistical significance（P 　　[Key words] Predictive nursing； Department of emergency； Stroke； Application 　　脑卒中为一种临床综合征，是指脑血管在脑动脉系统病变影响下，发生痉挛、闭塞、破裂，导致局部循环障碍急性发生，并损害肢体功能及高级功能，造成患者偏瘫。脑卒中特点表现为“三高”