院前救护中加强院前急救护理管理的应用效果分析

doi:10.3760/cma.j.issn.1007-1245.2022.11.014

摘要/Abstract

摘要： 目的　探讨加强院前急救护理管理在院前救护中的应用效果。方法　选取深圳市急救中心2020年10月至2021年5月304例院前急救患者资料进行回顾性研究，随机数字表法分为观察组和对照组，每组152例。观察组男80例、女72例，年龄（38.49±2.47）岁；对照组男78例、女74例，年龄（39.28±2.64）岁。对照组采取常规院前急救护理管理，观察组采取加强院前急救护理管理。对比两组急救所需时间、病死率以及护理满意度。统计学方法采用独立样本t检验、χ²检验。结果　观察组转移回院时间、达到患者处时间、出车反应时间均低于对照组［（6.28±2.12）min比（12.26±2.84）min、（7.64±2.18）min比（13.51±3.51）min、（2.12±0.57）min比（3.20±0.68）min］，两组比较差异均有统计学意义（t=5.201、4.632、5.102，P=0.016、0.013、0.024）；观察组病死率显著低于对照组［5.92%（9/152）比27.63%（42/152）］（χ²=25.657，P<0.001）；观察组护理满意度高于对照组［98.68%（150/152）比75.66%（115/152）］（χ²=36.033，P<0.001）。结论　通过加强院前急救护理管理可有效缩短急救所需时间，降低病死率，提升家属的护理满意度。

关键词: 院前急救, 急救所需时间, 护理管理, 应用效果, 病死率, 护理满意度

Abstract: Objective　To explore the application effect of strengthening pre-hospital emergency nursing management in pre-hospital care. Methods　The data of 304 pre-hospital emergency patients in Shenzhen Emergency Center from October 2020 to May 2021 were retrospectively studied. They were divided into an observation group and a control group by the random number table method, with 152 cases in each group. There were 80 males and 72 females in the observation group, and they were (38.49±2.47) years old. There were 78 males and 74 females in the control group, and they were (39.28±2.64) years old. The control group took routine Pre-hospital first aid nursing management, and the obserration group strengthened Pre-hospital first aid nursing management. The times required for first aid, mortalities, and nursing satisfaction were compared between these two groups. The independent-sample t and χ² tests were applied. Results　The time transferred to hospital, the time getting to the patients, and departure reaction time in the observation group were shorter than those in the control group [(6.28±2.12) min vs. (12.26±2.84) min, (7.64±2.18) min vs. (13.51±3.51) min, and (2.12±0.57) min vs. (3.20±0.68) min], with statistical differences (t=5.201,4.632, and 5.102; P=0.016, 0.013, and 0.024). The mortality of the observation group was significantly lower than that of the control group [5.92% (9/152) vs. 27.63% (42/152); χ²=25.657, P<0.001]. The nursing satisfaction of the observation group was higher than that of the control group [98.68% (150/152) vs. 75.66% (115/152); χ²=16.201, P<0.001]. Conclusion　Strengthening the management of pre-hospital emergency care can effectively shorten the time required for first aid, reduce the mortality, and improve the satisfaction of family members with nursing care.

Key words: Pre-hospital first aid, Time required for first aid, Nursing management, Application effect, Mortality, Nursing satisfaction

严敏怡, 王燕. 院前救护中加强院前急救护理管理的应用效果分析[J]. 国际医药卫生导报, 2022, 28(11): 1539-1542.

Yan Minyi, Wang Yan. Application effect of strengthening pre-hospital emergency nursing management in pre-hospital care[J]. International Medicine and Health Guidance News, 2022, 28(11): 1539-1542.

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