昏迷患者的急诊护理措施及护理探讨(1)
[摘要] 目的 探討脑出血昏迷患者急诊护理干预的临床效果。方法 随机选取该院急诊科2016年1月—2017年7月收治的100例脑出血昏迷患者为研究对象，依据护理方式不同分为实验组(50例，急诊科常规护理联合优质护理干预)和对照组(50例，急诊科常规护理)，对比观察两组抢救成功率及家属对护理服务的满意度。结果 实验组抢救成功率(94.0%)高于对照组(82.0%)，差异有统计学意义(P<0.05)。实验组家属对护理服务的满意度(96.0%)高于对照组(80.0%)，差异有统计学意义(P<0.05)。结论 予以脑出血昏迷患者急诊优质护理干预可有效提高抢救成功率及家属满意度，对促进护患和谐具有积极作用，值得推广使用。
[关键词] 急诊科；昏迷；护理干预；优质护理；护理体会
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2017)12(a)-0140-03
[Abstract] Objective To study the clinical effect of emergency nursing intervention of patients with cerebral hemorrhage coma. Methods 100 cases of cerebral hemorrhage coma patients admitted and treated in our hospital from January 2016 to July 2017 were random selected as the research objects and divided into two groups with 50 cases in each according to the different nursing methods， the experimental group adopted the routine nursing and excellent nursing intervention， while the control group adopted the routine nursing in the department of emergency， and the emergency successful rate and satisfactory degree of family to the nursing service were observed. Results The rescue successful rate in the experimental group was higher than that in the control group， (94.0% vs 82.0%)， and the difference was statistically significant(P<0.05)， and the satisfactory degree of their family to nursing services in the experimental group was higher than that in the control group(96.0% vs 80.0%)， and the difference was statistically significant(P<0.05). Conclusion The excellent nursing intervention in patients with cerebral hemorrhage coma can effectively improve the rescue successful rate and satisfactory degree of their family， and it has a positive effect on the harmonious medical relationship， and it is worth application.
[Key words] Department of emergency； Coma； Nursing intervention； Excellent nursing； Nursing experience
昏迷是脑出血患者常见症状，由脑出血所致脑皮质功能障碍所引起，属临床危重症，需急诊救治，以快速解除患者症状，降低死亡风险[1]。急诊护理是抢救脑出血昏迷患者的重要措施，该院急诊科近年来在常规护理基础上予以昏迷患者优质护理，在提高抢救质量、提高患者生存率、促进护患和谐方面取得了良好效果，文章现以2016年1月—2017年7月该院急诊科收治的100例脑出血昏迷患者为例进行分析和探讨，现报道如下。
1 资料与方法
1.1 一般资料
从该院急诊科收治的脑出血昏迷患者中随机择取100例为研究对象，依据护理方式不同分为两组。实验组(50例)：男27例，女23例；年龄49～81岁，平均(63.3±5.4)岁；发病到急诊救治时间1～17 h，平均(4.1±2.0)h；脑实质出血33例，蛛网膜下腔出血17例；入院时浅度昏迷33例，深度昏迷17例。对照组(50例)：男26例，女24例；年龄50～79岁，平均(63.5±5.1)岁；发病到急诊救治时间1～15 h，平均(4.2±1.7)h；脑实质出血35例，蛛网膜下腔出血15例；入院时浅度昏迷38例，深度昏迷12例。两组一般资料差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入与排除
纳入标准[3]：①颅脑CT明确脑出血诊断；②入院时格拉斯哥昏迷指数(GCS)≤8分；③发病到急诊救治≤24 h；④签署知情同意书。排除标准：①患者入院时极度昏迷，已呈濒死状态；②合并颈椎外伤；③合并其它脏器严重疾病。, http://www.100md.com(王丽芳)
[关键词] 急诊科；昏迷；护理干预；优质护理；护理体会
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2017)12(a)-0140-03
[Abstract] Objective To study the clinical effect of emergency nursing intervention of patients with cerebral hemorrhage coma. Methods 100 cases of cerebral hemorrhage coma patients admitted and treated in our hospital from January 2016 to July 2017 were random selected as the research objects and divided into two groups with 50 cases in each according to the different nursing methods， the experimental group adopted the routine nursing and excellent nursing intervention， while the control group adopted the routine nursing in the department of emergency， and the emergency successful rate and satisfactory degree of family to the nursing service were observed. Results The rescue successful rate in the experimental group was higher than that in the control group， (94.0% vs 82.0%)， and the difference was statistically significant(P<0.05)， and the satisfactory degree of their family to nursing services in the experimental group was higher than that in the control group(96.0% vs 80.0%)， and the difference was statistically significant(P<0.05). Conclusion The excellent nursing intervention in patients with cerebral hemorrhage coma can effectively improve the rescue successful rate and satisfactory degree of their family， and it has a positive effect on the harmonious medical relationship， and it is worth application.
[Key words] Department of emergency； Coma； Nursing intervention； Excellent nursing； Nursing experience
昏迷是脑出血患者常见症状，由脑出血所致脑皮质功能障碍所引起，属临床危重症，需急诊救治，以快速解除患者症状，降低死亡风险[1]。急诊护理是抢救脑出血昏迷患者的重要措施，该院急诊科近年来在常规护理基础上予以昏迷患者优质护理，在提高抢救质量、提高患者生存率、促进护患和谐方面取得了良好效果，文章现以2016年1月—2017年7月该院急诊科收治的100例脑出血昏迷患者为例进行分析和探讨，现报道如下。
1 资料与方法
1.1 一般资料
从该院急诊科收治的脑出血昏迷患者中随机择取100例为研究对象，依据护理方式不同分为两组。实验组(50例)：男27例，女23例；年龄49～81岁，平均(63.3±5.4)岁；发病到急诊救治时间1～17 h，平均(4.1±2.0)h；脑实质出血33例，蛛网膜下腔出血17例；入院时浅度昏迷33例，深度昏迷17例。对照组(50例)：男26例，女24例；年龄50～79岁，平均(63.5±5.1)岁；发病到急诊救治时间1～15 h，平均(4.2±1.7)h；脑实质出血35例，蛛网膜下腔出血15例；入院时浅度昏迷38例，深度昏迷12例。两组一般资料差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入与排除
纳入标准[3]：①颅脑CT明确脑出血诊断；②入院时格拉斯哥昏迷指数(GCS)≤8分；③发病到急诊救治≤24 h；④签署知情同意书。排除标准：①患者入院时极度昏迷，已呈濒死状态；②合并颈椎外伤；③合并其它脏器严重疾病。, http://www.100md.com(王丽芳)