目的 探讨系统化护理流程干预对脑出血患者急救效果及预后的影响.方法 采用回顾性分析的方法,选取2022年2月—2023年2月新乡医学院第三附属医院急诊收治的210例脑出血患者,将2022年2月—2022年8月采取常规护理干预的105例患者作为常规组,将2022年9月—2023年2月采取系统化护理流程干预的105例患者作为研究组.对比两组患者抢救效率、急救效果、并发症发生率、预后水平、护理满意度情况.结果 研究组患者抢救总时间、会诊至确诊、分诊至会诊、接诊至分诊以及出诊反应时间短于常规组(P＜0.05);研究组急救总有效率高于常规组,并发症发生率低于常规组(P＜0.05);出院1个月、3个月后,两组患者神经功能缺损量表(NIHSS)评分均降低,简易智能状态检查量表(MMSE)评分升高,研究组变化幅度更大(P＜0.05);研究组患者护理满意度高于常规组(P＜0.05).结论 针对脑出血患者在急救过程中采取系统化护理流程干预能够提升患者的抢救效率和急救效果,并发症发生率低,改善患者的神经功能缺损情况,提升预后水平,且患者满意度较高.
Objective To explore the impact of systematic nursing process intervention on the emergency response and prognosis of patients with cerebral hemorrhage.Methods By retrospective analysis,210 patients with cerebral hemorrhage admitted to the emergency department of the Third Affiliated Hospital of Xinxiang Medical College from February 2022 to February 2023,105 patients with routine nursing intervention from February 2022 to August 2022 were selected as the routine group,and 105 patients with systematic nursing process intervention from September 2022 to February 2023 were selected as the study group.The rescue efficiency,first aid effect,complication rate,prognosis levels and nursing satisfaction of the two groups were compared.Results The total rescue time,consultation to diagnosis,triage to consultation,reception to triage and the response time to visit in the study group were significantly lower(P＜0.05).The total emergency response rate of the study group was higher than that of the conventional group,and the incidence of complications was significantly lower(P＜0.05).One month and 3 months after discharge,NIHSS score decreased in both groups,MMSE score increased,and the change range was greater in the study group(P＜0.05).The nursing satisfaction of the study group was significantly higher(P＜0.05).Conclusions For patients with cerebral hemorrhage,systematic nursing process intervention in the first aid process can improve the rescue efficiency and first aid effect of patients,reduce the incidence of complications,improve the neurological function defect of patients,improve the prognosis level,and the patient satisfaction is higher.
胡营营
新乡医学院第三附属医院急诊科(河南新乡 453000)
系统化护理流程;脑出血;急救效果;预后水平;神经功能;满意度
systematic nursing process;cerebral hemorrhage;first aid effectiveness;prognostic level;neurological function;satisfaction
《广州医药》 2024 (004)
437-442 / 6
10.3969/j.issn.1000-8535.2024.04.019
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