主动脉夹层患者的应用急诊护理临床价值的探讨.docVIP

主动脉夹层患者的应用急诊护理临床价值的探讨 　　【摘要】 目的：探究主动脉夹层患者应用急诊护理临床价值。方法：采取回顾性分析方法?Ρ收咚?在医院2015年6月-2016年12月主动脉夹层患者88例的资料进行收集分析，随机分组。常规组采用常规急诊护理干预；系统组采用系统性急诊护理干预。比较两组患者家属对急诊护理整体质量的满意度；从接诊到抢救的时间、平均住院时间、住院费用；死亡率；护理前后患者情绪稳定状况、生存质量评分。结果：系统组患者家属对急诊护理整体质量的满意度高于常规组，差异有统计学意义（P0.05）。护理后两组患者情绪方面和生存质量评分均有显著改善，但系统组改善幅度大于常规组，差异有统计学意义（P0.05）。结论：主动脉夹层患者应用系统性急诊护理临床价值高，可稳定患者不良情绪，缩短抢救时间和住院时间，改善患者预后和生存质量，减轻患者住院经济负担，提高患者家属满意度，对于预防医纠纷具有重要意义。 　　【关键词】 主动脉夹层患者； 急诊护理； 临床价值 　　doi：10.14033/ki.cfmr.2017.27.056 文献标识码 B 文章编号 1674-6805（2017）27-0105-03 　　Clinical Value Exploration of Emergency Nursing Care in Patients with Aortic Dissection/LU Qing，HUANG Bi-shan，LIN Jun-juan.//Chinese and Foreign Medical Research，2017，15（27）：105-107 　　【Abstract】 Objective：To explore the clinical value of application of emergency nursing care in patients with aortic dissection.Method：A retrospective analysis method was used in 88 patients with aortic dissection in our hospital during June 2015 to December 2016.The patients were randomly divided into the system group with conventional emergency nursing intervention system；the conventional group with systematic emergency nursing intervention.Compared two groups of patients’ families the overall satisfaction of quality emergency care；from reception to the rescue time，the average hospitalization time，hospitalization expenses；mortality；nursing and patients emotional stability，quality of life score.Result：Satisfaction of patients and families on the overall quality of emergency nursing of the system group was higher than that of the conventional group，the difference was statistically significant（P0.05）；score of emotion and quality of life in the two groups were significantly improved after nursing，the differences were statistically significant（P 　　【Key words】 Patients with aortic dissection； Emergency nursing； Clinical value 　　First-author’s address：The Fifth Hospital Affiliated to Zhongshan University，Zhuhai 519000，China 　　主动脉夹层是临床常见严重心血管急症，具有较高的死亡率，诊治难度大，在积极抢救的同时，需做好患者的急诊护理，以减少并发