临床路径在急诊科呼吸困难患者急救中的实施

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目的:探讨临床路径在呼吸困难患者急救中的实施评价。方法:选取2014年2月~2015年10月在医院急诊科收治的132例呼吸困难患者为研究对象,随机分为观察组和对照组,每组66例。观察组采用临床路径进行急救,对照组采用常规方法。结果:观察组呼吸困难缓解时间明显短于观察组(P<0.05);治疗费用明显低于对照组(P<0.05);观察组的护理满意度为98.48%,明显高于对照组的87.88%(P<0.05);观察组抢救成功率为100%,高于对照组的96.97%(P<0.05)。结论:在急诊急救工作中运用临床路径规范医疗与护理措施,能够使患者获得最佳的医疗服务质量,提高患者满意度。同时方便护理人员在最短的时间内做出临床决策,更符合急危重症急诊急救的实际要求。 Objective: To evaluate the implementation of clinical pathway in patients with respiratory distress. Methods: A total of 132 patients with dyspnea who were admitted to the emergency department of our hospital from February 2014 to October 2015 were selected and randomly divided into observation group and control group, with 66 cases in each group. The observation group used the first-aid clinical path and the control group received the conventional method. Results: The relief time of dyspnea in observation group was significantly shorter than that in observation group (P <0.05), and the cost of treatment was significantly lower than that of control group (P <0.05). The nursing satisfaction of observation group was 98.48%, significantly higher than that of control group (87.88% (P <0.05). The success rate of rescue in the observation group was 100%, which was higher than that in the control group (96.97%, P <0.05). Conclusion: Using clinical pathway to standardize the medical and nursing measures in the emergency first aid work can help patients get the best quality of medical service and improve patient satisfaction. At the same time convenient nurses in the shortest possible time to make clinical decisions, more in line with the emergency emergency critical emergency requirements.
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