Multidisciplinary collaborative tiered emergency nursing care for patients with cardiac arrest caused by arrhythmias
Objective To explore the application of multidisciplinary collaborative tiered emergency nursing care in patients with cardiac arrest caused by arrhythmias.Methods A prospective study design was used.Ninety-six patients with cardiac arrest caused by arrhythmias treated at Xi'an Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected.The patients were divided into a control group and an experimental group according to the time of admission,with 48 patients in each group.The control group included 24 males and 24 females;they were(58.35±7.78)years old;primary diseases:there were 20 cases of coronary heart disease,10 cases of myocarditis,8 cases of hypertensive heart disease,6 cases of valvular heart disease,and 4 cases of myocardial infarction.The experimental group included 23 males and 25 females;they were(58.47±7.82)years old;primary diseases:there were 21 cases of coronary heart disease,9 cases of myocarditis,9 cases of hypertensive heart disease,5 cases of valvular heart disease,and 4 cases of myocardial infarction.The control group received conventional emergency nursing care,while the experimental group received multidisciplinary collaborative tiered emergency nursing care.Both groups were intervened until the patients were discharged.The recovery times of vital signs(spontaneous breathing,sinus rhythm,and autonomous circulation),rescue success rates,hospital stays,and scores of Glasgow Coma Scale(GCS),Simplified Chinese version of Depression-Anxiety-Stress Scale-21(DASS-21),and General Quality of Life Inventory-74(GQOLI-74)were compared between the two groups.t and x2 tests were applied.Results The recovery times for spontaneous breathing,sinus rhythm,and autonomous circulation in the experimental group were shorter than those in the control group[(56.27±16.48)h vs.(108.67±27.84)h,(2.24±0.69)d vs.(5.68±1.34)d,and(42.87±13.68)h vs.(129.56±36.37)h],with statistical differences(t=11.22,15.81,and 15.46;all P＜0.05).The rescue success rate and score of GCS after the intervention in the experimental group were higher than those in the control group[93.75％(45/48)vs.79.17％(38/48)and(7.74±0.91)vs.(5.37±0.76)];the hospital stay in the experimental group was shorter than that in the control group[(10.96±2.13)d vs.(15.68±3.24)d];there were statistical differences(x2=4.36;t=13.85 and 8.43;all P＜0.05).The scores of stress,depression,and anxiety after the intervention in the experimental group were lower than those in the control group[(6.86±1.21)vs.(9.37±1.34),(4.57±1.27)vs.(6.15±1.37),and(6.38±1.67)vs.(9.57±2.16)],with statistical differences(t=9.63,5.86,and 8.10;all P＜0.05).The scores of physical function,social function,material living conditions,and psychological function after intervention in the experimental group were higher than those in the control group,with statistical differences(t=11.40,11.52,9.76,and 8.93;all P＜0.05).Conclusion Multidisciplinary collaborative tiered emergency nursing care for patients with cardiac arrest caused by arrhythmias can significantly improve the rescue success rate,shorten the recovery times of vital signs,reduce hospital stay,alleviate their negative emotions,improve their GCS scores and quality of life,and provide effective practical guidance for the emergency nursing care for patients with cardiac arrest caused by arrhythmias.
万方数据
维普
