Application of Situational Simulation Teaching Method in Respiratory and Cardiac Arrest Induced by Aspiration in Elderly Patients.

BACKGROUND

Elderly hospitalized patients often have dysphagia, which can cause a variety of complications, the most common being aspiration. Early detection and timely treatment by nurses are needed in the clinic.

OBJECTIVE

To assess the effect of the situational simulation teaching method in respiratory and cardiac arrest induced by aspiration in elderly patients.

DESIGN

This was a retrospective study.

SETTING

This study was performed in the Department of Geriatrics, The Third Hospital of Hebei Medical University.

PARTICIPANTS

Fifty patients with aspiration-induced respiratory and cardiac arrest who were hospitalized in our hospital were chosen and divided into 2 groups according to the composition of rescue nursing staff, and each group had 25 cases.

INTERVENTIONS: The patients who were rescued by nurses without scenario simulation training were the control group (routine emergency nursing group). The patients who were rescued by nurses trained via the scenario simulation teaching method were the experimental group.

PRIMARY OUTCOME MEASURES: (1) Emergency rescue time, (2) survival rate, (3) duration of adverse events, and (4) nursing satisfaction of patients.

RESULTS

Compared to the control group, the emergency rescue time, the duration of asphyxia, duration of respiratory and cardiac arrest, and the duration of malignant arrhythmias caused by cardiac arrest in the experimental group was lower (P < .05), while the survival rate and nursing satisfaction of patients in the experimental group was higher (P < .05).

CONCLUSION

The application of situational simulation teaching method in the rescue of patients with respiratory and cardiac arrest has outstanding effects, which can effectively improve the efficiency of first aid, significantly improve the efficiency and standardization of first aid, and control or prevent the occurrence of poor prognosis, which is worth popularizing.