首页|风险管理联合急诊护理在心脏骤停患者中的应用效果及对生活质量的影响

风险管理联合急诊护理在心脏骤停患者中的应用效果及对生活质量的影响

扫码查看
目的 探究风险管理联合急诊护理在心脏骤停患者中应用效果。方法 选择 2021 年 2 月至 2023 年 2 月期间在安阳市中医院急诊进行心肺复苏的心脏骤停患者 98 例,应用随机数表法将其分为对照组(常规护理)及观察组(风险管理联合急诊护理)各 49 例,对比两组护理有效率、生理指标(平均动脉压、心率、血氧饱和度、舒张压)、脑氧代谢指标[颈动脉血氧饱和度(SjvO2)、颈动脉血氧含量(CajvO2)、脑氧摄取率(ERO2)]、生活质量[生活质量综合评定问卷(GQOLI-74)]、并发症发生率。结果 对照组护理有效率低于观察组,差异有统计学意义(P<0。05)。观察组平均动脉压、心率、血氧饱和度、舒张压水平高于对照组,差异有统计学意义(P<0。05)。对照组SjvO2、CajvO2、ERO2低于观察组,差异有统计学意义(P<0。05)。观察组各维度生活质量评分高于对照组,差异有统计学意义(P<0。05)。对照组并发症发生率高于观察组,差异有统计学意义(P<0。05)。结论 对心脏骤停患者接受风险管理联合急诊护理,护理效果显著,促使患者生命指征平稳,改善脑代谢,保护神经功能,减少并发症发生率,提升生活质量。
Effectiveness of Risk Management Combined with Emergency Care Interventions in Patients in Cardiac arrest and Impact on Quality of Life
Objective To investigate the effect of risk management combined with emergency care in patients with cardiac arrest.Methods A total of 98 patients with cardiac arrest who underwent cardiopulmonary resuscitation in the emergency department of Anyang Traditional Chinese Medicine Hospital between February 2021 and February 2023 were selected and divided into 49 cases each in the control group(conventional care)and the observation group(risk management combined with emergency care)by applying the random number table method.The nursing efficiency,physiological indexes(mean arterial pressure,heart rate,oxygen saturation,diastolic pressure),cerebral oxygen metabolism indexes[carotid oxygen saturation(SjvO2),carotid oxygen content(CajvO2),cerebral oxygen uptake rate(ERO2)],quality of life(GQOLI-74)and complication rate were compared between the two groups.Results The nursing efficiency of the control group was lower than that of the observation group,the difference was statistically significant(P<0.05).The mean arterial pressure,heart rate,oxygen saturation and diastolic blood pressure levels in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).SjvO2,CajvO2 and ERO2 in the control group were lower than those in the observation group,the difference was statistically significant(P<0.05).Quality of life scores in all dimensions were higher in the observation group than in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the control group was higher than that in the observation group,the difference was statistically significant(P<0.05).Conclusion Patients in cardiac arrest receiving risk management combined with emergency care had significant nursing effects,Promote stable vital signs,improving cerebral metabolism,protecting neurological function,reducing the incidence of complications and improving quality of life.

risk managementemergency carecardiac arrestcardiopulmonary resuscitationintervention effectivenesscerebral metabolismquality of life

苏爱芬、乔艳丽

展开 >

安阳市中医院 高压氧医学科,河南 安阳 455000

安阳市中医院 急诊科,河南 安阳 455000

风险管理 急诊护理 心脏骤停 心肺复苏 干预效果 脑代谢 生活质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
  • 18