摘要
目的 探讨院前急救流程干预在癫痫持续状态患者急救和护理配合中的效果.方法 回顾性选取2020年2月至2023年2月天水市第一人民医院收治的癫痫持续状态患者100例,依据急救和护理配合方法分为院前急救流程干预组和常规院前急救护理组,每组各50例.统计分析两组院前急救落实到位各关键护理行为所用时间、癫痫持续天数、住院时间、癫痫控制、抢救成功情况、住院期间并发症发生情况、睡眠状况、缺陷感、自尊程度、生活质量.结果 院前急救流程干预组患者的生命体征判断时间、心肺复苏时间、气管插管时间、吸痰时间、吸氧时间、开放静脉时间、癫痫持续时间、住院时间均短于常规院前急救护理组,癫痫控制率、抢救成功率均高于常规院前急救护理组,住院期间并发症发生率低于常规院前急救护理组,FIS评分、SES评分、生活质量评分均高于常规院前急救护理组,Berlin评分、PSQI评分均低于常规护理组(P＜0.05).结论 院前急救流程干预在癫痫持续状态患者急救和护理配合中的效果优于常规院前急救护理.
Abstract
Objective To explore the effect of pre-hospital emergency intervention in the first aid and nursing cooperation of patients with status epilepticus.Methods 100 patients with epileptic status in the First People's Hospital of Tianshui City from February 2022 to February 2023 were selected and divided into two groups(the pre-hospital emergency intervention group and the conventional pre-hospital emergency care group)with 50 cases in each group according to first aid and nursing coordination methods.The time spent on key nursing behaviors,du-ration of epilepsy,length of hospital stay,epilepsy control,successful rescue,complications during hospitalization,sleep status,sense of defect,self-esteem,and quality of life of the two groups were statistically analyzed.Re-sults The vital signs judgment time,cardiopulmonary resuscitation time,tracheal intubation time,sputum aspira-tion time,oxygen inhalation time,vein opening time,epilepsy duration,and hospital stay time of patients in the pre-hospital emergency intervention group were all shorter than those in the conventional pre-hospital emergency care group.The seizure control rate and rescue success rate in the pre-hospital emergency intervention group were higher than those in the conventional pre-hospital emergency care group.The incidence of complications during hospitalization in the pre-hospital emergency intervention group was lower than that in the conventional pre-hos-pital emergency care group.The FIS score,SES score and quality of life score in the pre-hospital emergency inter-vention group were higher than that in the conventional pre-hospital emergency care group.The Berlin score and PSQI score in the pre-hospital emergency intervention group were lower than that in the conventional care group(P＜0.05).Conclusion The pre-hospital emergency intervention has better effect than the conventional pre-hospi-tal emergency nursing in the first aid and nursing cooperation of patients with status epilepticus.
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