电击伤患者实施标准化护理的效果观察
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摘要
目的探讨不同护理方法对电击伤患者愈后的影响。方法重度电击伤患者46例,随机分为A组和B组,各23例,A组患者采用常规护理方法,B组患者进行电击伤标准化护理,比较2组患者在平均办理入院时间、入院当天处置时间、健康教育知晓率、便秘发生率、并发症发生率、平均住院天数、患者满意度、出院前日自理能力方面的差异。结果 A组平均办理入院时间为(35.2±0.2)min,B组为(24.7±0.3)min;A组入院当天处置时间为(60.4±0.3)min,B组为(49.5±0.2)min;2组患者在入院24、72 h,术后48 h、术后1周,出院前1天填写电击伤相关知识调查问卷,A组健康教育知晓率为69.5%,B组为95.3%;A组便秘发生率为26.1%,B组为4.3%;A组并发症发生率为13%,B组为4.3%;A组平均住院日为(35.2±0.2)d,B组为(27.5±0.3)d;2组患者在出院前1天填写护理满意度调查表,A组非常满意人数占65.2%,B组占95.7%;2组患者出院前1天,出院后2周、4周采用日常生活能力评定Barthel指数量表进行自理能力评估,A组完全自理人数占52.2%,B组占86.9%,2组比较差异有统计学意义(P<0.05)。结论和常规护理相比,电击伤标准化护理更加人性化,护理更加全面细致,能够更好地满足患者的心理需求,提高患者的满意度,有效减少患者的并发症,缩短愈合时间,提高患者的生活质量。
Objective To investigate the effect of different nursing methods for patients with electrical injury after healing. Methods A total of 46 severe electrical injury patients were randomly divided into A group and B group,with 23 cases in each group. A group was treated with conventional nursing methods,B group with electrical injury of standardized nursing. Hospitalization time,the average for the disposal of the admission day time,awareness of health education the rate of constipation difference rate,complication rate,average hospitalization days,patients' satisfaction,the selfcare ability of hospital were compared. Results Average admission time in A group was( 35. 2 ±0. 2) minutes,and( 24. 7 ± 0. 3) minutes in group B; Treatment time on admission in A group was( 60. 4 ± 0. 3) minutes,and( 49. 5 ± 0. 2) minutes in group B. Health education awareness rate in A group in 24,72 hours,1 week after operation before discharge was 69. 5%,and 95. 3% in B group;The incidence of constipation was 26. 1% in A group,and 4. 3% in B group; Complication rate in A group was 13%,and 4. 3% in B group; The average duration of hospitalization in group A was( 35. 2 ± 0. 2) d,and( 27. 5 ± 0. 3) in group B; Satisfied people in A group accounted for 65. 2%,95. 7% in group B; Complete self-care ability by self-care ability assessment accounted for 52. 2% in A group,and 86. 9% in B group. Conclusion Compared with routine nursing,the electrical injury of standardized nursing care is more humane,more comprehensive and detailed,it can better meet the psychological needs of patients,improve patients' satisfaction,reduce complications,shorten the healing time,and improve the quality of life of patients.
Objective To investigate the effect of different nursing methods for patients with electrical injury after healing. Methods A total of 46 severe electrical injury patients were randomly divided into A group and B group,with 23 cases in each group. A group was treated with conventional nursing methods,B group with electrical injury of standardized nursing. Hospitalization time,the average for the disposal of the admission day time,awareness of health education the rate of constipation difference rate,complication rate,average hospitalization days,patients' satisfaction,the selfcare ability of hospital were compared. Results Average admission time in A group was( 35. 2 ±0. 2) minutes,and( 24. 7 ± 0. 3) minutes in group B; Treatment time on admission in A group was( 60. 4 ± 0. 3) minutes,and( 49. 5 ± 0. 2) minutes in group B. Health education awareness rate in A group in 24,72 hours,1 week after operation before discharge was 69. 5%,and 95. 3% in B group;The incidence of constipation was 26. 1% in A group,and 4. 3% in B group; Complication rate in A group was 13%,and 4. 3% in B group; The average duration of hospitalization in group A was( 35. 2 ± 0. 2) d,and( 27. 5 ± 0. 3) in group B; Satisfied people in A group accounted for 65. 2%,95. 7% in group B; Complete self-care ability by self-care ability assessment accounted for 52. 2% in A group,and 86. 9% in B group. Conclusion Compared with routine nursing,the electrical injury of standardized nursing care is more humane,more comprehensive and detailed,it can better meet the psychological needs of patients,improve patients' satisfaction,reduce complications,shorten the healing time,and improve the quality of life of patients.
引文
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[16]梁吒吒.标准化护理干预在糖尿病胰岛素泵强化治疗中的应用[J].护理实践与研究杂志,2016,13(6):1-3.
[17]傅玉萍,谢雪莲,谭静.标准化护理方案在手术室管理中的应用[J].护理实践与研究,2016,16(1):83-84.
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[19]李亚文,刘军,刘艳波,等.负压封闭引流治疗电击伤患者肢体迟发性坏死1例[J].中华烧伤杂志,2017,33(4):247-248.
[20]蒋秋萍,石玉岚,董肇杨,等.电击伤致头部大面积缺损行皮瓣修复术的护理[J].上海护理,2015,15(6):51-52.
[21]徐冬梅.重度电击伤患者的院前急救与护理[J].中国医药指南,2016,14(33):282-282.
[2]赵素红.浅析电击伤的院前急救[J].基层医学论坛,2015,8(19):1140-1141.
[3]段红丽.急救护理对电击伤患者的影响分析[J].人人健康,2016,16(12):31.
[4]于新国,朱维平,吕大兵.人工真皮和自体刃厚皮复合移植联合负压封闭引流技术治疗电击伤深度创面的临床研究[J].感染、炎症、修复,2015,16(3):165-168.
[5]练永芬.高压电击伤患者的临床护理体会[J].实用医学杂志,2008,24(15):2717.
[6]张栋华.15例电击伤患者的急救护理体会[J].世界最新医学信息文摘,2016,48(20):232.
[7]李广惠.超高压电击伤患者抢救成功1例护理体会[J].青海医药杂志,2015,45(10):49-50.
[8]唐晓红.电击伤的临床护理体会[J].中国实用医药,2014,9(04):202-203.
[9]泮莹飞,陈翠娟,张育淑.电击伤患者25例的护理体会[J].护士进修杂志,2011,26(19):1754-1758.
[10]吕炎英,廖倩芳,赖土群.电击伤患者的临床观察及护理[J].国际医药卫生导报,2004,10(12):204-205.
[11]张婕,赵聪聪,黄婷婷,等.“身心并护”服务模式探讨[J].解放军医院管理杂志,2013,20(11):1071-1072.
[12]郭莹,刘婷.“身心并护”模式对老年脑梗死住院患者身心舒适度的影响[J].中国实用神经疾病杂志,2014,17(24):131-132.
[13]方业香,徐凤玲.1例重症电击伤致多脏器功能衰竭的护理[J].当代护士:学术版,2017,23(1):120-121.
[14]朱洁,洪俊蓉.电击伤患者的院前急救方法研究[J].中国医药科学,2015,5(17):184-188.
[15]丁蕾,于慧,胡晶,等.胰岛素泵治疗2型糖尿病过程中实施精细化管理效果探讨[J].齐鲁护理杂志,2011,17(6):10-12.
[16]梁吒吒.标准化护理干预在糖尿病胰岛素泵强化治疗中的应用[J].护理实践与研究杂志,2016,13(6):1-3.
[17]傅玉萍,谢雪莲,谭静.标准化护理方案在手术室管理中的应用[J].护理实践与研究,2016,16(1):83-84.
[18]滕月玲,吴美福,吴京玉.影响患者满意度的因素分析[J].南方护理学报,2004,11(3):17.
[19]李亚文,刘军,刘艳波,等.负压封闭引流治疗电击伤患者肢体迟发性坏死1例[J].中华烧伤杂志,2017,33(4):247-248.
[20]蒋秋萍,石玉岚,董肇杨,等.电击伤致头部大面积缺损行皮瓣修复术的护理[J].上海护理,2015,15(6):51-52.
[21]徐冬梅.重度电击伤患者的院前急救与护理[J].中国医药指南,2016,14(33):282-282.