目的：探讨“定人定位”急救护理模式在急性主动脉夹层患者抢救中的应用效果。方法：回顾性分析2022年1月—2023年12月在我院就诊的200例急性主动脉夹层抢救患者的临床资料进行研究。按照“定人定位”急救护理模式实施时间前后,将2023年1月之前实施常规急救护理的患者分为常规组（n=120）,将2023年1月及之后实施“定人定位”急救护理模式的患者分为试验组（n=80）。比较两组患者的抢救成功率、抢救效率指标、患者预后以及患者及其家属满意度。结果：试验组患者抢救成功率93.75%高于常规组84.17%;试验组患者接诊确诊时间、采血及通路建立时间、转运总时间、总抢救时间均短于常规组患者;试验组患者死亡率、致残率为8.75%、1.25%低于常规组的19.17%、7.50%;试验组患者及家属满意度85.00%高于常规组患者及家属满意度71.67%。结论：“定人定位”急救护理模式在急性主动脉夹层患者抢救中应用良好,可提高患者抢救成功率、抢救效率,改善患者预后,降低不良事件率,提高医生评价与患者及其家属满意度。
Abstract
Objective To explore the application effect of locating the asset emergency nursing mode in the rescue of patients with acute aortic dissection. Methods A retrospective analysis was performed on the clinical data of 200 patients with acute aortic dissection in the hospital between January 2022 and December 2023. According to implementation time of locating the asset emergency nursing mode, patients were divided into routine group （n=120, before January 2023, routine emergency nursing） and experimental group （n=80, after January 2023, locating the asset emergency nursing mode）. The rescue success rate, rescue efficiency indexes, prognosis and satisfaction of patients and their family members were compared between the two groups. Results The rescue success rate in experimental group was higher than that in routine group （93.75% vs 84.17%）. The confirming time of reception, establishment time of blood collection and access, total transport time and total rescue time in experimental group were shorter than those in routine group, mortality rate and disability rate were lower than those in routine group （8.75% vs 19.17%, 1.25% vs 7.50%）. The satisfaction of patients and their family members in experimental group was higher than that in routine group （85.00% vs 71.67%）. Conclusion The application effect of locating the asset emergency nursing mode is good in the rescue of patients with acute aortic dissection, which can improve rescue success rate, rescue efficiency and prognosis, reduce the incidence of adverse events, improve doctors evaluation and satisfaction of patients and their family members.
关键词
“定人定位”急救护理模式 /
急性主动脉夹层 /
抢救
Key words
locating the asset emergency nursing mode /
acute aortic dissection /
rescue
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参考文献
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基金
新疆维吾尔自治区人民医院院内项目“主动脉夹层患者风险评估预警模型的构建及验证”（20210136）; 新疆维吾尔自治区自然科学基金资助项目“RNA结合蛋白PCBP1改变Wwp2可变剪接调控泛素化信号通路在帕金森病中的作用和机制研究”（2022D01C126）
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