优化急救护理流程对急诊心肺复苏患者抢救成功率及预后的影响

吴小娟　　邹素华　　黄媛媛　　陈苗妙

[摘要] 目的 分析優化急救护理流程对急诊心肺复苏患者抢救成功率及预后的影响。 方法 选择我院2017年7月至2018年10月急诊科收治的90例心肺复苏患者，并拟定于2018年2月优化急救护理流程，将优化前的40例患者作为对照组，采取常规的急诊护理措施，优化后的50例患者作为研究组，比较两组患者的抢救流程的时间消耗情况、抢救成功率、死亡率、并发症发生率。 结果 研究组患者接诊时间为（2.12±0.12）min，胸外按压时间耗时（1.65±0.17）min，心电图检查耗时（1.18±0.19）min，建立静脉通路耗时（3.16±0.29）min，与对照组比较，差异有统计学意义（P<0.05）;研究组患者的抢救成功率为74.00%（37例），对照组患者抢救成功率为50.00%（20例），两组患者抢救成功率比较，差异有统计学意义（P<0.05）;研究组患者的死亡率为26.00%（13例）明显低于对照组50%（20例），差异有统计学意义（P<0.05）。研究组患者并发症发生率为4.00%（2/50），对照组患者并发症发生率为17.50%（7/40），两组并发症比较，差异有统计学意义（P<0.05）。 结论 优化急救护理流程可有效减少急诊心肺复苏患者抢救所需时间，为患者赢得更多的生存机会，提高了抢救成功率，减少了并发症，可改善急诊预后，值得进行推广。

[关键词] 优化急救护理流程;急诊;心肺复苏;抢救成功率;预后

[中图分类号] R473          [文献标识码] B          [文章编号] 1673-9701（2021）12-0171-04

Effect of optimizing emergency nursing process on the success rate of rescue and prognosis for the patients undergoing emergency cardiopulmonary resuscitation

WU Xiaojuan1   ZOU Suhua1   HUANG Yuanyuan1   CHEN Miaomiao2

1.Department of Emergency Medicine， Lishui People′s Hospital， Lishui   323000， China; 2.Department of Critical Care Medicine， Lishui People′s Hospital， Lishui   323000， China

[Abstract] Objective To analyze the effect of optimizing emergency nursing process on the success rate and prognosis for the patients undergoing emergency cardiopulmonary resuscitation. Methods A total of 90 patients undergoing cardiopulmonary resuscitation who were admitted to the emergency department of our hospital were included in the study. The patients were enrolled from July 2017 to October 2018， and it was planned to optimize the emergency nursing process in February 2018. 40 patients before optimization were assigned to the control group， and routine emergency care measures were taken. 50 patients after optimization were assigned to the study group. The time consumption， rescue success rate， mortality rate and complication rate of the rescue procedures were compared between the two groups of patients. Results And the time for establishing the venous access was（3.16±0.29） min. There were statistically significant differences in the data compared with those in the control group（P<0.05）; the rescue success rate in the study group was 74.00%（37 cases）， and the rescue success rate in the control group was 50.00%（20 cases）. The difference in the rescue success rate between the two groups was statistically significant（P<0.05）; the mortality rate in the study group was 26.00% （13 cases）， which was significantly lower than that of 50.00% in the control group（20 cases）， and the difference was statistically significant （P<0.05）. The incidence rate of complications in the study group was 4.00% （2/50）， and the incidence of complications in the control group was 17.50% （7/40）. The difference in complications between the two groups was statistically significant（P<0.05）. Conclusion Optimizing the emergency nursing process can effectively reduce the time required for rescue for the patients undergoing emergency cardiopulmonary resuscitation， win more survival opportunities for patients， improve the success rate of rescue， reduce complications， and improve the emergency prognosis， which is worthy of promotion.

[Key words] Optimizing emergency nursing process; Emergency; Cardiopulmonary resuscitation; Success rate of rescue; Prognosis

心肺复苏是急诊科常用的一种抢救手段，该抢救措施可用于多种因素导致的心搏呼吸骤停，例如各类危重心脏病、卒中疾病、严重创伤、脑血管疾病等[1-4]。通过心肺复苏，可以机械化重启心搏呼吸，从而挽救患者的生命。但心搏呼吸骤停往往发病较急，会在短时间内致患者死亡，这就要求不断的对急诊抢救流程进行优化，减少时间损耗，为患者争取更多的时间[5-6]。本文选取了2017年7月至2018年10月我院急诊科收治的90例心肺复苏患者进行观察，探讨优化急救护理流程对急诊心肺复苏患者抢救成功率及预后的影响，现报道如下。

1 资料与方法

1.1一般资料

此次研究的入选对象为我院急诊科收治的90例心肺复苏患者，患者入选时间为2017年7月至2018年10月，并拟定于2018年2月优化急救护理流程，将优化前的40例患者作为对照组，采取常规的急诊护理措施，优化后的50例患者作为研究组。……