优化急救护理措施在急性左心衰患者急救中的护理效果
急性左心衰;护理效果
DOI:-5547/
Nursing effect by optimized emergency nursing measures in emergency treatment of acute left heart failure patients XU Ying-qi, YE Dan. Department of Emergency, Shenzhen City Third People’s Hospital, Shenzhen 518114, China
【Abstract】 Objective To observe nursing effect by optimized emergency nursing measures in emergency treatment of acute left heart failure patients. Methods A total of 62 patients with acute left heart failure were divided by different nursing projects into control group (received conventional nursing, 32 cases) and intervention group (received optimized emergency nursing, 30 cases). Comparative analysis was made on curative effect, hospital stay time and activities of daily living (ADL) score after nursing in the two groups. Results After nursing intervention, the intervention group had obviously higher total effective rate as % than % in the control group, and the difference had statistical significance (), 具有可比性。 1. 2 护理方法对照组采用常规护理, 干预组采用优化急救护理, 具体如下。
1. 2. 1 常规急救护理第一时间采集静脉血, 完成医嘱的各项检查, 遵医嘱建立静脉通道完成药物输液, 密切观察病情, 有变化者及时通知主管医生, 观察病情、配合抢救。
1. 2. 2 优化急救护理患者进入急诊后, 按照病情轻重缓急分为四级(Ⅰ级:如不进行紧急救治会有生命危险;Ⅱ级:有潜在生命危险可能;Ⅲ级:急性症状不能缓解;Ⅳ级:慢性疾病急性发作)。急性左心衰为Ⅰ级病情, 需优先处理。接诊后, 采用高抢救质量、高抢救速度的优化急救护理措施:①体位:接诊时可采用轮椅, 协助患者完善腿部呈下垂状态的坐位可减少回心血量, 缓解呼吸困难。②建立静脉通道:建立静脉通道后可先采集血液标本, 避免重复穿刺给患者带来疼痛及
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