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基于HEART评分的急诊护理路径在急性心力衰竭患者抢救中的应用

Application of Emergency Nursing Pathway Based on HEART Score in Rescue of Patients with Acute Heart Failure
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摘要 目的:探讨基于HEART评分制定的急诊护理路径在抢救急性心力衰竭患者的效果.方法:选取 2020 年1 月至 2022 年 1 月期间,本院收治的急性心力衰竭患者 96 例为研究对象.将其分为观察组和对照组,各 48 例.观察组按照以HEART评分为基准制定的急诊护理路径进行救治,对照组以常规急救护理方案进行救治.比较两组的抢救后 1h患者好转率、抢救时间、病死率、住院时间,以及患者的护理满意度.结果:观察组患者的抢救时间、住院时间均短于对照组,差异均有统计学意义(P<0.05);观察组的抢救后 1h患者好转率、患者护理满意度均高于对照组,差异均有统计学意义(P<0.05);观察组病死率低于对照组,差异无统计学意义(P>0.05).结论:基于HEART评分制定的急诊护理路径应用于抢救急性心力衰竭患者,可使患者更快获得有效救治,对改善其预后及提高护理满意度有积极意义. Objective:To explore the effect of emergency nursing pathway based on HEART score in rescuing patients with acute heart failure.Methods:A total of 96 patients with acute heart failure admitted to our hospital from January 2020 to January 2022 were selected and divided into observation group and control group,with 48 cases in each group.The observation group was treated with emergency nursing path based on HEART score,while the control group was treated with routine emergency nursing plan.The improvement rate at 1 hour after rescue,rescue time,mortality rate,hospital stay,and nursing satisfaction of patients were compared between the two groups.Results:The rescue time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The improvement rate 1 hour after rescue and nursing satisfaction of patients in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The mortality of the observation group was lower than that of the control group,but there was no statistical difference(P>0.05).Conclusion:The application of emergency nursing pathway based on HEART score in the rescue of patients with acute heart failure can make patients get effective treatment more quickly,and has positive significance to improve their prognosis and nursing satisfaction.
作者 任梦珂 姬晓鸣 REN Meng-ke;JI Xiao-ming(Department of Emergency,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)
出处 《四川解剖学杂志》 2022年第4期176-178,共3页 Sichuan Journal of Anatomy
关键词 HEART评分 急诊护理 护理路径 急性心力衰竭 HEART score Emergency care Nursing pathway Acute heart failure
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