健康教育对心源性猝死高危患者家属急救能力的影响

发布时间：2018-08-22 13:30

【摘要】：目的探讨健康教育对心源性猝死高危患者家属急救能力的影响。方法将100例冠心病患者家属分为对照组和实验组各50例,对照组实施常规教育,实验组实施系统性健康教育,比较干预前后2组患者家属对心源性猝死疾病相关知识的掌握情况、CPR技能操作、焦虑心理及护理满意度。结果干预后,实验组对心源性猝死的疾病诱因(84.0%vs 20.0%)、预防措施(88.0%vs 24.0%)、心脏骤停先兆(90.0%vs 18.0%)、紧急求救方法 (94.0%vs 70.0%)、心肺复苏知识(80.0%vs 16.0%)、药物自救知识(90.0%vs 56.0%)的掌握率均显著高于对照组(P0.01);实验组对评估现场环境(90.0%vs 36.0%)、判断意识(80.0%vs 30.0%)、检查呼吸(92.0%vs 38.0%)、检查颈动脉搏动(94.0%vs 18.0%)、启动应急反应系统(94.0%vs 70.0%)、摆放体位(88.0%vs 20.0%)、胸外按压(88.0%vs 20.0%)、开放气道(80.0%vs 12.0%)、人工呼吸(72.0%vs 14.0%)、评估CPR及后续处理(70.0%vs 20.0%)等CPR技能操作掌握率均显著高于对照组(P0.01);实验组SAS焦虑自评分(46.2±6.1)显著低于对照组焦虑自评分(57.3±6.0)(P0.01);实验组对护士沟通技巧(94.0%vs 76.0%)、护理能力(92.0%vs 68.0%)、人文关怀(90.0%vs 60.0%)、心理指导(94.0%vs 56.0%)的满意度显著高于对照组(P0.05)。结论健康教育能够有效提高心源性猝死高危患者家属对疾病相关健康知识、急救知识的掌握率,提高其CPR技能操作水平,减轻焦虑心理,提高对护理工作的满意度。
[Abstract]:Objective to investigate the effect of health education on the first aid ability of family members of patients at high risk of sudden cardiac death. Methods 100 family members of coronary heart disease patients were divided into two groups: control group (n = 50) and experimental group (n = 50). The relative knowledge of sudden cardiac death (SCD) was compared between the two groups before and after the intervention. CPR skills, anxiety and nursing satisfaction were compared. Results after intervention, The predisposing factors of sudden cardiac death (84.0%vs 20.0%), preventive measures (88.0%vs 24.0%), cardiac arrest precursor (90.0%vs 18.0%), emergency call for help (94.0%vs 70.0%), cardiopulmonary resuscitation (80.0%vs 16.0%) and drug self-rescue (90.0%vs 56.0%) were significantly higher than those in the control group (P0.01). The group assessed site environment (90.0%vs 36.0%), consciousness of judgment (80.0%vs 30.0%), respiratory examination (92.0%vs 38.0%), carotid pulsation (94.0%vs 18.0%), activation of emergency response system (94.0%vs 70.0%), posture (88.0%vs 20.0%), external chest compression (88.0%vs 20.0%), open airway (80.0%vs 12.0%), artificial respiration (72.0%vs 14.0%), evaluation of CPR and posterior respiration (72.0%vs 14.0%). The rate of mastery of CPR skills was significantly higher in 70.0%vs (20.0%) than that in control group (P0.01), SAS self-score in experimental group (46.2 卤6.1) was significantly lower than that in control group (57.3 卤6.0) (P0.01), communication skills (94.0%vs 76.0%), nursing ability (92.0%vs 68.0%) and humanistic care (90.0%vs 60.0%) in experimental group. The satisfaction degree of psychological guidance (94.0%vs 56.0%) was significantly higher than that of the control group (P0.05). Conclusion Health education can effectively improve the knowledge of disease related health and first aid of family members of patients with sudden cardiac death, improve their CPR skills, reduce anxiety and improve their satisfaction with nursing work.
【作者单位】：苏州大学附属第一医院;
【分类号】：R473.5

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