摘要
目的探讨六西格玛管理法对急性心源性心脏骤停患者心肺复苏成功率及血流动力学的影响。方法将161例急性心源性心脏骤停患者按照收治时间分为对照组75例与研究组86例。抢救期间对照组采用常规急救管理干预,研究组采用六西格玛管理法进行急救管理干预,观察24h。比较两组复苏成功率。复苏前及复苏24h、比较两组中心静脉血氧饱和度、血清乳酸水平、排尿量及血流动力学指标水平,比较两组护理满意度。结果研究组复苏成功率显著高于对照组(P<0.05)。复苏24h两组中心静脉血氧饱和度显著高于复苏前(P<0.01),乳酸水平显著低于复苏前(P<0.01),排尿量显著多于复苏前(P<0.01),研究组较对照组变化更显著(P<0.01)。复苏24h两组血流动力学指标水平均较复苏前显著升高(P<0.01),研究组与对照组比较差异无统计学意义(P>0.05)。研究组护理总满意率显著高于对照组(P<0.01)。结论六西格玛管理法可有效提高急性心源性心脏骤停心肺复苏患者复苏成功率,提高中心静脉血氧饱和度和排尿量,降低血清乳酸水平,改善血流动力学指标水平,患者满意度高,值得临床推广。
Objective To investigate the effects of Six Sigma methodology on cardiopulmonary resuscitation success rate and hemodynamics in patients with acute cardiogenic cardiac arrest.Methods A total of 161 patients with acute cardiogenic cardiac arrest were divided into control group(75 cases) and study group(86 cases) according to the time of admission.The control group was intervened by routine emergency management method during rescue,while the study group was intervened by Six Sigma methodology during rescue for 24 h.The success rate of resuscitation was compared between the two groups.Before and 24 hours after resuscitation,the central venous oxygen saturation,serum lactic acid level,urinary output and hemodynamic indexes of the two groups were compared,and the nursing satisfaction of the two groups was compared.Results The success rate of resuscitation in the study group was significantly higher than that in the control group(P<0.05).After 24 hours of resuscitation,the central venous oxygen saturation of the two groups was significantly higher than that before resuscitation(P<0.01),the lactic acid level was significantly lower than that before resuscitation(P<0.01),and the urine output was significantly higher than that before resuscitation(P <0.01).The study group changed more significantly than the control group(P<0.01).After 24 hours of resuscitation,the levels of hemodynamic indexes in the two groups were significantly higher than those before resuscitation(P<0.01),and there was no significant difference between the study group and the control group(P>0.05).The total satisfaction rate of nursing care in the study group was significantly higher than that in the control group(P<0.01).Conclusions Six Sigma methodology can effectively improve the cardiopulmonary resuscitation success rate in patients with acute cardiogenic cardiac arrest,increase central venous oxygen saturation and urine output,reduce serum lactic acid levels,improve hemodynamic index levels,and has high patient satisfaction,which is worthy of clinical promotion.
作者
王屹
宋科
刘亚杰
董慧君
Wang Yi;Song Ke;Liu Yajie;Dong Huijun(Zhengzhou People's Hospital,Zhengzhou 450003,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第1期149-152,共4页
Journal of Clinical Psychosomatic Diseases
关键词
急性心源性心脏骤停
六西格玛管理法
心肺复苏
血流动力学
血氧饱和度
acute cardiogenic cardiac arrest
Six Sigma methodology
cardiopulmonary resuscitation
hemodynamics
blood oxygen saturation
作者简介
王屹,女,49岁,汉族,本科,副主任护师,护士长。主要研究成果:参编专著3部,发表专业论文10篇。研究方向:急危重症护理及护理管理。
