急性失血性休克抢救护理流程在妇产科手术中的应用效果观察
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摘要
目的:研究急性失血性休克"抢救护理流程"在妇产科手术中的应用效果。方法:将妇产科急性失血性休克患者手术抢救护理分为常规组和观察组,各71例,两组进行对比分析抢救成功率、抢救用时、护理质量评分、患者焦虑、家属满意度。结果:观察组抢救平均用时明显低于对照组,抢救成功率明显高于对照组;观察组护理质量各项目评价得分均明显高于对照组;两组患者干预后焦虑得分均明显低于干预前,观察组干预后的焦虑得分又明显低于对照组,以上差异均有统计学意义(P<0.05)。结论:为急性失血性休克患者加强手术室"抢救护理流程"干预,患者抢救效果乐观,护理质量评分高、且家属满意度高。
Objective: To study the application effect of "rescue care process" in acute hemorrhagic shock in gynecological surgery.Methods: The surgical rescue of patients with acute hemorrhagic shock in obstetrics and gynecology was divided into 71 cases in the conventional group and the observation group. The two groups were compared to analyze the rescue success rate, rescue time, nursing quality score, patient anxiety and family satisfaction.Results: The average rescue time of the observation group was significantly lower than that of the control group, and the success rate of rescue was significantly higher than that of the control group. The evaluation scores of the nursing quality of the observation group were significantly higher than those of the control group. The anxiety scores of the two groups were significantly lower than those before the intervention. The anxiety scores of the group after intervention were significantly lower than the control group, and the above differences were statistically significant(P < 0.05).Conclusion: For the patients with acute hemorrhagic shock, the operation room "rescue care process" intervention was strengthened, the patient rescue effect was optimistic, the nursing quality score was high, and the family satisfaction was high.
Objective: To study the application effect of "rescue care process" in acute hemorrhagic shock in gynecological surgery.Methods: The surgical rescue of patients with acute hemorrhagic shock in obstetrics and gynecology was divided into 71 cases in the conventional group and the observation group. The two groups were compared to analyze the rescue success rate, rescue time, nursing quality score, patient anxiety and family satisfaction.Results: The average rescue time of the observation group was significantly lower than that of the control group, and the success rate of rescue was significantly higher than that of the control group. The evaluation scores of the nursing quality of the observation group were significantly higher than those of the control group. The anxiety scores of the two groups were significantly lower than those before the intervention. The anxiety scores of the group after intervention were significantly lower than the control group, and the above differences were statistically significant(P < 0.05).Conclusion: For the patients with acute hemorrhagic shock, the operation room "rescue care process" intervention was strengthened, the patient rescue effect was optimistic, the nursing quality score was high, and the family satisfaction was high.
引文
[1] 孙茂莲.急性失血性休克抢救护理流程在手术室中的应用[J].齐鲁护理杂志,2016,22(18):85-87.
[2] 严文萍,张婷,孙燕,等.产后出血急性失血性休克抢救护理流程在手术室中的应用[J].实用临床医药杂志,2017,21(18):189-191.
[3] 霍丽萍,吴菊,高婷婷,等.绿色通道抢救流程在失血性休克患者围术期护理中的应用[J].国际护理学杂志,2016,35(20):2817-2818.
[4] 黄郁.急性失血性休克抢救护理流程在手术室中的应用[J].齐鲁护理杂志,2017,23(10):90-91.
[5] 陈华鸿,钟娆霞,莫玉林,等.主动护理流程在手术室急性失血性休克抢救中的应用研究[J].临床护理杂志,2017,16(06):65-67.
[6] 葛香玉.小型剖宫产并发产后大出血及急性横纹肌溶解症个案护理[J].临床医药文献电子杂志,2017,04(04):698.
[7] 张利兰,杨嘉惠,沈婷,等.异位妊娠破裂失血性休克早期判断中改良早期预警评分联合休克指数的护理效果[J].包头医学院学报,2017,33(11):93-94,97.
[8] Kleber C,Becker C A,Malysch T,et al.Temporal profile of inflammatory response to fracture and hemorrhagic shock:Proposal of a novel long-term survival murine multiple trauma model[J].Journal of orthopaedic research,2015,33(07):965-970.
[9] 李常路,李薇,王国文,等.高渗盐水补液治疗急性失血性休克患者炎性因子及电解质代谢的影响研究[J].浙江临床医学,2016,18(10):1898-1900.
[10] 康春艳.急性失血性休克抢救护理流程在手术室中的应用[J].实用临床护理学电子杂志,2017,02(04):67,71.
[11] 赵丽,彭明琦.情景模拟演练及翻转课堂提高急诊护士抢救能力的作用[J].上海护理,2017,17(05):98-100.
[12] 周琪,黄淮,许沛,等.高渗盐复合液治疗急性颅内高压伴失血性休克患者的临床观察[J].中华急诊医学杂志,2017,26(04):426-429.
[2] 严文萍,张婷,孙燕,等.产后出血急性失血性休克抢救护理流程在手术室中的应用[J].实用临床医药杂志,2017,21(18):189-191.
[3] 霍丽萍,吴菊,高婷婷,等.绿色通道抢救流程在失血性休克患者围术期护理中的应用[J].国际护理学杂志,2016,35(20):2817-2818.
[4] 黄郁.急性失血性休克抢救护理流程在手术室中的应用[J].齐鲁护理杂志,2017,23(10):90-91.
[5] 陈华鸿,钟娆霞,莫玉林,等.主动护理流程在手术室急性失血性休克抢救中的应用研究[J].临床护理杂志,2017,16(06):65-67.
[6] 葛香玉.小型剖宫产并发产后大出血及急性横纹肌溶解症个案护理[J].临床医药文献电子杂志,2017,04(04):698.
[7] 张利兰,杨嘉惠,沈婷,等.异位妊娠破裂失血性休克早期判断中改良早期预警评分联合休克指数的护理效果[J].包头医学院学报,2017,33(11):93-94,97.
[8] Kleber C,Becker C A,Malysch T,et al.Temporal profile of inflammatory response to fracture and hemorrhagic shock:Proposal of a novel long-term survival murine multiple trauma model[J].Journal of orthopaedic research,2015,33(07):965-970.
[9] 李常路,李薇,王国文,等.高渗盐水补液治疗急性失血性休克患者炎性因子及电解质代谢的影响研究[J].浙江临床医学,2016,18(10):1898-1900.
[10] 康春艳.急性失血性休克抢救护理流程在手术室中的应用[J].实用临床护理学电子杂志,2017,02(04):67,71.
[11] 赵丽,彭明琦.情景模拟演练及翻转课堂提高急诊护士抢救能力的作用[J].上海护理,2017,17(05):98-100.
[12] 周琪,黄淮,许沛,等.高渗盐复合液治疗急性颅内高压伴失血性休克患者的临床观察[J].中华急诊医学杂志,2017,26(04):426-429.