门诊注射患者晕厥的原因及预防性护理分析
|
摘要
目的分析门诊注射患者晕厥的原因及预防性护理方措施。方法选取2016年8月—2018年9月在我院门诊部注射治疗的患者123例,统计患者晕厥发生情况,比较发生晕厥及未发生晕厥患者注射方法、体位及心理因素等情况,分析其相关因素。结果 123例门诊注射患者发生晕厥33例,发生率为26.83%;发生晕厥者静脉注射、坐位、心理因素(恐惧、惊慌)、心源性晕厥、药物过敏、体位性低血压、单纯性晕厥及低血糖发生率均高于未发生晕厥患者,差异有统计学意义(P<0.05);经Pearson分析,上诉因素均与门诊注射患者晕厥发生呈正相关(P<0.05)。结论门诊注射患者晕厥发生与静脉注射、坐位、心理因素(恐惧、惊慌)、心源性晕厥、药物过敏、体位性低血压、单纯性晕厥及低血糖的发生有关,应及时采用预防性干预措施避免其发生。
Objective To analyze the causes of syncope in outpatient injection patients,and to provide basis for the formulation of preventive nursing program. Methods 123 patients who received injection therapy in our hospital from August2016 to September 2018 were selected. The occurrence of syncope was counted. The injection methods,posture and psychological factors of patients with syncope and those without syncope were compared,and the related factors were analyzed.Results 33 cases of syncope occurred in 123 out-patient injection patients,the incidence was 26.83%. The incidence of intravenous injection,sitting position,psychological factors(fear,panic),cardiogenic syncope,drug allergy,postural hypotension,simple syncope and hypoglycemia in patients with syncope were higher than those without syncope,the difference was significant(P<0.05).Pearson analysis showed that the incidence of intravenous injection and sitting was higher than that of patients without syncope(P<0.05).Psychological factors(fear,panic),cardiogenic syncope,drug allergy,postural hypotension,simple syncope and hypoglycemia were positively correlated with syncope(P<0.05).Conclusion The occurrence of syncope in outpatient injection patients is related to intravenous injection,sitting position,psychological factors(fear,panic),cardiogenic syncope,drug allergy,postural hypotension,simple syncope and hypoglycemia. Preventive intervention measures should be taken in time.
Objective To analyze the causes of syncope in outpatient injection patients,and to provide basis for the formulation of preventive nursing program. Methods 123 patients who received injection therapy in our hospital from August2016 to September 2018 were selected. The occurrence of syncope was counted. The injection methods,posture and psychological factors of patients with syncope and those without syncope were compared,and the related factors were analyzed.Results 33 cases of syncope occurred in 123 out-patient injection patients,the incidence was 26.83%. The incidence of intravenous injection,sitting position,psychological factors(fear,panic),cardiogenic syncope,drug allergy,postural hypotension,simple syncope and hypoglycemia in patients with syncope were higher than those without syncope,the difference was significant(P<0.05).Pearson analysis showed that the incidence of intravenous injection and sitting was higher than that of patients without syncope(P<0.05).Psychological factors(fear,panic),cardiogenic syncope,drug allergy,postural hypotension,simple syncope and hypoglycemia were positively correlated with syncope(P<0.05).Conclusion The occurrence of syncope in outpatient injection patients is related to intravenous injection,sitting position,psychological factors(fear,panic),cardiogenic syncope,drug allergy,postural hypotension,simple syncope and hypoglycemia. Preventive intervention measures should be taken in time.
引文
[1]陈彦秋,何阳,李政亮,等.根本原因分析法在预防门诊患者晕厥管理中的运用[J].重庆医学,2018,47(7):991-992.
[2]徐玉龙,管建国,宗桂荣,等.晕厥56例病因及临床特征分析[J].中国临床保健杂志,2016,19(5):542-543.
[3]马胜华.51例门诊患者晕厥原因分析及防范对策[J].护理学报,2013,20(2):52-55.
[4]刘春艳,邢岩. 96例晕厥患者的病因分析[J].中华老年心脑血管病杂志,2017,19(9):971-973.
[5]李非,邓桂元,杨天伦,等.62例晕厥患者原因分析及诊断经验总结[J].医学临床研究,2016,33(8):1640-1641.
[6]钟山,方丽,兰迅,等.药源性晕厥的多因素分析及其防治[J].西南国防医药,2013,23(6):638-640.
[7]卓月云.门诊注射室发生昏厥的原因分析及护理方法[J].吉林医学,2014,35(16):3576-3577.
[2]徐玉龙,管建国,宗桂荣,等.晕厥56例病因及临床特征分析[J].中国临床保健杂志,2016,19(5):542-543.
[3]马胜华.51例门诊患者晕厥原因分析及防范对策[J].护理学报,2013,20(2):52-55.
[4]刘春艳,邢岩. 96例晕厥患者的病因分析[J].中华老年心脑血管病杂志,2017,19(9):971-973.
[5]李非,邓桂元,杨天伦,等.62例晕厥患者原因分析及诊断经验总结[J].医学临床研究,2016,33(8):1640-1641.
[6]钟山,方丽,兰迅,等.药源性晕厥的多因素分析及其防治[J].西南国防医药,2013,23(6):638-640.
[7]卓月云.门诊注射室发生昏厥的原因分析及护理方法[J].吉林医学,2014,35(16):3576-3577.