摘要
目的探究急诊护理路径(ENP)结合集束化护理(CN)策略在急诊主动脉夹层(AAD)患者救治中的应用效果。方法选取2023年1月至2024年1月深圳市南山区人民医院收治的90例ADD患者作为研究对象,按照随机数字表法分为对照组(45例)及观察组(45例),对照组采用常规诊疗,观察组采用ENP结合CN策略。比较两组的救治后血压、心率共同达标时间、有效救治时间、抢救成功率、生活质量及护理满意度。结果观察组救治后血压、心率共同达标时间短于对照组,首次医疗接触至疾病确诊所需时间、特殊检查花费时间及急诊室停留时间均短于对照组,急救抢救成功率、健康调查简表(SF-36)评分及护理满意度中护理服务态度、护理操作技术、沟通水平、急救流程、接诊速度、转运安全及整体舒适度评分均高于对照组,差异有统计学意义(P<0.05)。结论对AAD患者采用ENP结合CN策略,可有助于缩短有效就诊时间,提高抢救成功率,提升生活质量及护理满意度。
Objective To explore the application effect of emergency nursing pathway(ENP)combined with cluster nursing(CN)strategy in the treatment of patients with acute aortic dissection(AAD).Methods A total of 90 ADD patients admitted to Shenzhen Nanshan People's Hospital from January 2023 to January 2024 were selected as the research objects,and they were divided into control group(45 cases)and observation group(45 cases)according to random number table method.The control group was treated with routine treatment,while the observation group was treated with ENP combined with CN strategy.Time for blood pressure and heart rate to reach the standard together after treatment,effective treatment rate,rescue success rate,quality of life and nursing satisfaction were compared between the two groups.Results The time for blood pressure and heart rate to reach the standard together after treatment were shorter than those of the control group,and the time from the first medical contact to the diagnosis of the disease,the time spent on special examination and the time spent in the emergency room were shorter than those of the control group,the success rate of first aid,the score of SF-36 and the score of nursing satisfaction were higher than those of the control group,with statistical significances(P<0.05).Conclusion The combination of ENP and CN strategy for AAD patients can help to shorten the effective treatment time,improve the success rate of rescue,and improve the quality of life and nursing satisfaction.
作者
尤莉苹
王雅琳
王婧
YOU Liping;WANG Yalin;WANG Jing(Department of Emergency,Shenzhen Nanshan People's Hospital,Guangdong Province,Shenzhen518000,China)
出处
《中国当代医药》
CAS
2024年第31期180-183,共4页
China Modern Medicine
基金
广东省深圳市南山区技术研发和创意设计项目分项资金——教育(卫生)科技项目(NS2023050)。
关键词
急诊主动脉夹层
急诊护理路径
集束化护理策略
有效就诊时间
抢救成功率
Acute aortic dissection
Emergency nursing pathway
Cluster nursing strategy
Effective treatment time
Rescue success rate
