摘要
目的研究预见性护理在Stanford A型主动脉夹层患者长途转运中的效果。方法将2017年1月至2020年10月期间在河西学院附属张掖人民医院明确诊断为Stanford A型主动脉夹层,且经血管外科医生评估病情后、家属同意转往上级医院进一步治疗的60例患者作为研究对象,其中2017年1月至2018年12月应用常规护理转运的30例患者作为对照组,2019年1月至2020年10月应用预见性护理转运的30例患者作为观察组;比较两组患者转运成功率、死亡率、转运时间、意外情况发生率、家属总满意率。结果观察组转运成功率高于对照组,两组比较,差异有统计学意义(P<0.05);观察组意外情况发生率低于对照组,差异有统计学意义(P<0.05);观察组家属总满意率高于对照组,差异有统计学意义(P<0.05);转运时间差异无统计学意义(P>0.05)。结论预见性护理在Stanford A型主动脉夹层患者长途转运中的实施,可提高患者转运成功率,提高家属满意度,降低死亡率,降低不良事件发生率。
Objective To study the effect of predictive nursing in long-distance transportation of patients with Stanford A aortic dissection.Methods A total of 60 patients who were clearly diagnosed as Stanford A-type aortic dissection at the Zhangye People′s Hospital of Hexi University and whose family members agreed to be transferred to a higher hospital for further treatment after the vascular surgeon assessed the condition from January 2017 to October 2020 were selected as the research objects.30 patients who used routine nursing transfer from January 2017 to December 2018 were enrolled as the control group,and 30 patients who used predictive nursing transfer from January 2019 to October 2020 were enrolled as the observation group.The transfer success rate,mortality,transfer time,accident rate,and total family satisfaction rate between the two groups were compared.Results The rate of successfully transported patients in the observation group was higher than that in the control group.The difference between the two groups was statistically significant(P<0.05).The accident rate in the observation group was lower than those in the control group,and the difference was statistically significant(P<0.05).The satisfaction rate in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The difference in transit time was not statistically significant(P>0.05).Conclusion The implementation of predictive nursing in the long-distance transfer of patients with Stanford A aortic dissection can increase the success rate of patient transfer,improve family satisfaction,reduce mortality,and reduce the incidence of adverse events.
作者
周璇
成青鉴
ZHOU Xuan;CHENG Qingjian(Department of Nursing,Zhangye People′s Hospital of Hexi University,Zhangye 734000,China;The First Department of General Surgery,Zhangye People's Hospital of Hexi University,Zhangye 734000,China)
出处
《中国现代医生》
2021年第8期176-179,共4页
China Modern Doctor
关键词
预见性护理
主动脉夹层
转运
预后
Predictive nursing
Aortic dissection
Transfer
Prognosis
