中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
32期
115-118
,共4页
杨丽珍%蒲宏伟%郑瑞花%符气炳
楊麗珍%蒲宏偉%鄭瑞花%符氣炳
양려진%포굉위%정서화%부기병
急性左心衰%急救护理%临床干预
急性左心衰%急救護理%臨床榦預
급성좌심쇠%급구호리%림상간예
Acute left heart failure%Emergency nursing%Clinical interventions
目的：探讨急救护理干预优化措施在急性左心衰患者急救中的临床效果及临床意义。方法选取2009年5月~2010年11月期间在海南省儋州市农垦那大医院收治的84例急性左心衰患者，将其分为两组，对照组(A组)42例，给予常规急性左心衰急救护理；优化组(B组)42例，给予优化后的左心衰急救护理，记录两组患者的救治成功率，并在患者出院6个月后以日常生活活动能力(ADL)为标准，评定两种护理方法在急性左心衰患者中的作用。结果B组疾病知晓率为97.6%，依从性为88.1%，两项指标均高于A组(83.3%、61.9%)，差异均有统计学意义(均P<0.05)；A组患者救治成功率为88.1%，B组患者救治成功率为97.6%，B组患者救治成功率显著高于A组，差异有统计学意义(P<0.05)；B组ADL评分平均为(59.1±3.2)分，显著高于A组[(47.3±3.6)分]，差异有统计学意义(P<0.05)。结论优化后的急性左心衰急救护理措施相比于常规急救护理能有效提高对患者的救治成功率，同时也可以提高患者出院后的日常生活能力。
目的：探討急救護理榦預優化措施在急性左心衰患者急救中的臨床效果及臨床意義。方法選取2009年5月~2010年11月期間在海南省儋州市農墾那大醫院收治的84例急性左心衰患者，將其分為兩組，對照組(A組)42例，給予常規急性左心衰急救護理；優化組(B組)42例，給予優化後的左心衰急救護理，記錄兩組患者的救治成功率，併在患者齣院6箇月後以日常生活活動能力(ADL)為標準，評定兩種護理方法在急性左心衰患者中的作用。結果B組疾病知曉率為97.6%，依從性為88.1%，兩項指標均高于A組(83.3%、61.9%)，差異均有統計學意義(均P<0.05)；A組患者救治成功率為88.1%，B組患者救治成功率為97.6%，B組患者救治成功率顯著高于A組，差異有統計學意義(P<0.05)；B組ADL評分平均為(59.1±3.2)分，顯著高于A組[(47.3±3.6)分]，差異有統計學意義(P<0.05)。結論優化後的急性左心衰急救護理措施相比于常規急救護理能有效提高對患者的救治成功率，同時也可以提高患者齣院後的日常生活能力。
목적：탐토급구호리간예우화조시재급성좌심쇠환자급구중적림상효과급림상의의。방법선취2009년5월~2010년11월기간재해남성담주시농은나대의원수치적84례급성좌심쇠환자，장기분위량조，대조조(A조)42례，급여상규급성좌심쇠급구호리；우화조(B조)42례，급여우화후적좌심쇠급구호리，기록량조환자적구치성공솔，병재환자출원6개월후이일상생활활동능력(ADL)위표준，평정량충호리방법재급성좌심쇠환자중적작용。결과B조질병지효솔위97.6%，의종성위88.1%，량항지표균고우A조(83.3%、61.9%)，차이균유통계학의의(균P<0.05)；A조환자구치성공솔위88.1%，B조환자구치성공솔위97.6%，B조환자구치성공솔현저고우A조，차이유통계학의의(P<0.05)；B조ADL평분평균위(59.1±3.2)분，현저고우A조[(47.3±3.6)분]，차이유통계학의의(P<0.05)。결론우화후적급성좌심쇠급구호리조시상비우상규급구호리능유효제고대환자적구치성공솔，동시야가이제고환자출원후적일상생활능력。
Objective To investigate the effect and significance of optimizing clinical interventions in emergency care of acute left heart failure patients. Methods In the period from May 2009 to November 2010 in Farming Nada Hospital of Danzhou City, a total of 84 patients with acute left heart failure were randomly divided into two groups, the control group (group A) was received conventional acute left heart failure emergency care, the optimal group (group B) was giv-en the optimized left heart failure emergency nursing. Treatment success rate of patients of two groups was recorded. Effect of two nursing methods in patients with acute left ventricular failure was evaluated with activities of daily life (ADL) out of school after 6 months ability for standard. Results The disease witting rate and compliance in group B were 97.6%and 88.1%, two indicators were higher than those in group A (83.3%, 61.9%), the differences had statisti-cal significances (all P< 0.05). The success rates were 88.1% in group A and 97.6% in group B, the success rate of group B was significantly higher than that of group A, with statistically significant difference (P < 0.05). ADL was (47.3±3.6) scores in group B, which was higher than that in group A [(59.1+3.2) scores], the difference was statistically significant (P<0.05). Conclusion The emergency nursing of acute left heart failure after optimization can improve the success rate of treatment of patients, and is better than conventional first aid nursing, and it can also improve the abili-ty of daily life of patients after discharge.
