急诊护士在急诊抢救的预见性护理思维临床效果及成功率分析(1)
[摘要] 目的 分析急诊护士在急诊抢救的预见性护理思维临床效果及成功率分析。方法 便利选择该院2017年10月—2018年10月收治急诊抢救患者80例，按随机数表分为两组，对照组40例采用常规护理，研究组40例实施预见性护理思维，对两组临床效果及成功率进行比较。结果 研究组SAS(33.28±3.46)分和SDS评分(32.89±4.90)分少于对照组，差异有统计学意义(t=26.579，11.355， P<0.05);研究组抢救成功率95.00%比对照组高，而不良事件0.00%及并发症率2.50%均比对照组低(χ2=4.114，4.504，4.507， P<0.05);研究组患者急救时间与住院时间分别是(14.31±2.08)min、(9.74±1.77)d，明显短于对照组(t=15.676，14.381，P<0.05)。结论 对急诊抢救患者实施预见性护理思维，可提高患者抢救成功率，有效保障其生命安全，临床上值得推广使用。
[关键词] 急诊护士;急诊抢救;预见性护理思维;临床效果;成功率
[Abstract] Objective To analyze the clinical effect and success rate of predictive nursing thinking of emergency nurses in emergency rescue. Methods 80 cases of emergency rescue patients were convenient selected from the hospital from October 2017 to October 2018. They were divided into two groups according to the random number table， 40 cases in the control group were treated with conventional nursing， and 40 cases in the research group were implemented with predictive nursing thinking. The clinical effects and success rates of the two groups were compared. Results The SAS (33.28±3.46)points and SDS (32.89±4.90) points in the study group were less than those in the control group， and the difference was statistically significant(t=26.579，11.355， P<0.05). The rescue success rate of the study group was 95.00% higher than that of the control group， while the rate of adverse events and complications were 0.00% and 2.50% lower than that of the control group(χ2=4.114，4.504，4.507， P<0.05); the emergency time and hospital stay of the study group were (14.31±2.08) min， (9.74±1.77) d， significantly shorter than the control group (t=15.676，14.381，P<0.05). Conclusion Implementing predictive nursing thinking for emergency rescue patients can improve the success rate of rescue patients， effectively protect their lives， and is worthy of popularization in clinic.
[Key words] Emergency nurse; Emergency rescue; Predictive nursing thinking; Clinical effect; Success rate
急診抢救工作具有难度大、风险高等特点，因此需做好抢救过程中的护理工作，以便更好控制病情。由于多数急诊抢救患者病情危重、复杂多变，需对其症状体征表现进行密切监测，并给予科学有效的护理服务[1]。但在传统常规急诊护理工作中，大多数护理人员是属于被动执行医嘱，是根据患者病情变化情况给予相应的治疗和护理措施[2]。在发生风险事件后，实施有效的处理对策，为提升急诊抢救成功率，急诊护士更需积极主动防范各种风险因素[3]。因此，在抢救过程中，急诊护士需要具备有预见性护理思维，在护理工作时能保持较好的专注度及警惕性，并对可能发生的风险事件预判，防患于未然，进而保障患者生命安全[4]。该研究对该院2017年10月—2018年10月收治急诊抢救患者80例因采用不同护理方案予以分析，现报道如下。
1 资料与方法
1.1 一般资料
便利选择该院收治急诊抢救患者80例临床资料，患者家属签署知情同意书，排除标准：严重肝肾功能障碍者，免疫血液疾病者;精神心理疾病者;资料不完整者。按随机数表分为两组，对照组40例，男23例，女17例;年龄15～76岁，平均年龄(46.17±4.94)岁。研究组40例，男22例，女18例，年龄12～77岁，平均年龄(47.26±4.78)岁。比较两组一般资料，差异无统计学意义(P>0.05)，具可比性。, 百拇医药(谭建华)
[关键词] 急诊护士;急诊抢救;预见性护理思维;临床效果;成功率
[Abstract] Objective To analyze the clinical effect and success rate of predictive nursing thinking of emergency nurses in emergency rescue. Methods 80 cases of emergency rescue patients were convenient selected from the hospital from October 2017 to October 2018. They were divided into two groups according to the random number table， 40 cases in the control group were treated with conventional nursing， and 40 cases in the research group were implemented with predictive nursing thinking. The clinical effects and success rates of the two groups were compared. Results The SAS (33.28±3.46)points and SDS (32.89±4.90) points in the study group were less than those in the control group， and the difference was statistically significant(t=26.579，11.355， P<0.05). The rescue success rate of the study group was 95.00% higher than that of the control group， while the rate of adverse events and complications were 0.00% and 2.50% lower than that of the control group(χ2=4.114，4.504，4.507， P<0.05); the emergency time and hospital stay of the study group were (14.31±2.08) min， (9.74±1.77) d， significantly shorter than the control group (t=15.676，14.381，P<0.05). Conclusion Implementing predictive nursing thinking for emergency rescue patients can improve the success rate of rescue patients， effectively protect their lives， and is worthy of popularization in clinic.
[Key words] Emergency nurse; Emergency rescue; Predictive nursing thinking; Clinical effect; Success rate
急診抢救工作具有难度大、风险高等特点，因此需做好抢救过程中的护理工作，以便更好控制病情。由于多数急诊抢救患者病情危重、复杂多变，需对其症状体征表现进行密切监测，并给予科学有效的护理服务[1]。但在传统常规急诊护理工作中，大多数护理人员是属于被动执行医嘱，是根据患者病情变化情况给予相应的治疗和护理措施[2]。在发生风险事件后，实施有效的处理对策，为提升急诊抢救成功率，急诊护士更需积极主动防范各种风险因素[3]。因此，在抢救过程中，急诊护士需要具备有预见性护理思维，在护理工作时能保持较好的专注度及警惕性，并对可能发生的风险事件预判，防患于未然，进而保障患者生命安全[4]。该研究对该院2017年10月—2018年10月收治急诊抢救患者80例因采用不同护理方案予以分析，现报道如下。
1 资料与方法
1.1 一般资料
便利选择该院收治急诊抢救患者80例临床资料，患者家属签署知情同意书，排除标准：严重肝肾功能障碍者，免疫血液疾病者;精神心理疾病者;资料不完整者。按随机数表分为两组，对照组40例，男23例，女17例;年龄15～76岁，平均年龄(46.17±4.94)岁。研究组40例，男22例，女18例，年龄12～77岁，平均年龄(47.26±4.78)岁。比较两组一般资料，差异无统计学意义(P>0.05)，具可比性。, 百拇医药(谭建华)