以问题为基础的护理模式在神经内科危重症患者抢救中的应用

    Application of problem-based model of care in the rescue of the critical patients in department of Neurology

    • 摘要: 目的:探讨以问题为基础的护理模式在神经内科危重症患者抢救中的应用效果。方法:选取206例神经内科危重症患者为研究对象,按入院日期分为观察组与对照组各103例,对照组给予常规护理模式,观察组在常规护理的基础上给予以问题为基础的护理模式,比较2组患者救治成功率、病死率、有效抢救时间、平均住院时间及满意度。结果:干预后,对照组患者病死率高于观察组(21.36%与9.71%),救治成功率低于观察组(68.93%与85.44%)(P<0.05);观察组患者有效抢救时间及住院时间均少于对照组(P<0.01和P<0.05);观察组患者满意度优于对照组(P<0.05)。结论:应用以问题为基础的护理模式能缩短神经内科危重症患者抢救时间,提高抢救成功率,降低病死率,有利于在神经内科护理工作中推广应用。

       

      Abstract: Objective:To investigate the application of problem-based model of care in the rescue of critical patients in department of Neurology.Methods:A total of 206 critical patients in department of Neurology 206 were divided into the control group and observation group(103 cases each group) according to the hospital date.The control group and observation group were treated with the conventional nursing mode and problem-based care model intervention based on the conventional nursing mode,respectively.The successful rate of rescue,mortality rate,effective rescue time,average day of hospitalization and satisfaction degree of patients between two groups were compared.Results:After the intervention,the mortality and successful rescue rates in control group(21.36% and 68.93%) were higher and lower than those in observation group(9.71% and 85.44%),respectively.The differences of the mortality and successful rescue rates between two groups were statistically significant(P<0.05).The effective rescue and average day of hospitalization time in observation group were shorter than those in control group(P<0.01 and P<0.05).The satisfaction degree in observation group was better than that in control group(P<0.05).Conclusions:The application of problem-based model of care in the critical patients in department of Neurology can shorten the rescue time,improve the success rate and reduce mortality,which can be conducive to spreading in Neurology nursing work.

       

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