集束化护理在急性重度有机磷农药中毒中的应用
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摘要
目的探讨集束化护理在急性重度有机磷农药中毒中的应用价值。方法选择2017年1月至2018年9月期间南方医科大学深圳医院收治的44例急性重度有机磷农药中毒患者为研究对象,根据随机数表法分为观察组与对照组,每组22例,对照组予常规护理干预,观察组则应用集束化护理干预,比较两组患者临床疗效、并发症发生率及护理满意度。结果观察组患者的阿托品用量、胆碱酯酶(CHE)活性恢复60%时间及住院时间分别为(288.19±124.18) mL、(142.18±20.35) h、(10.26±1.24) d,明显少于对照组的(356.54±132.44) mL、(173.45±27.64) h、(13.15±2.58) d,差异均有统计学意义(P<0.05);观察组患者的并发症发生率为9.09%,明显低于对照组的31.82%,差异有统计学意义(P<0.05);观察组患者的护患沟通、健康宣教、护理操作得分分别为(9.36±0.87)分、(9.22±0.60)分、(9.14±0.61)分,均明显高于对照组的(8.63±0.44)分、(8.38±0.54)分、(8.56±0.52)分,差异均有统计学意义(P<0.05)。结论集束化护理干预应用于急性重度有机磷农药中毒中,可有效促进患者的康复,减少并发症发生率,同时提高患者的护理满意度。
Objective To explore the application value of cluster nursing in acute severe organophosphorus pesticide poisoning. Methods A total of 44 patients with acute severe organophosphorus pesticide poisoning treated in Shenzhen Hospital, Southern Medical University from January 2017 to September 2018 were selected as the research subjects. According to the random number table, they were divided into observation group and control group, with 22 cases in each group. The control group was given routine nursing intervention, while the observation group was given cluster nursing intervention. The clinical efficacy, incidence of complications, and nursing satisfaction of the two groups were compared. Results The dosage of atropine, the recovery time of CHE activity to 60%, and the hospitalization time in the observation group were(288.19±124.18) mL,(142.18±20.35) h,(10.26±1.24) d, respectively, significantly less than(356.54±132.44) m L,(173.45±27.64) h,(13.15±2.58) d in the control group(P<0.05). The incidence of complications in the observation group(9.09%) was significantly lower than that in the control group(9.09%), and the difference was statistically significant(P<0.05). The scores of nursing satisfaction survey, including nurse-patient communication, health education, and nursing operation in the observation group were(9.36±0.87) points,(9.22±0.60) points,(9.14±0.61) points, significantly higher than(8.63±0.44) points,(8.38±0.54) points,(8.56±0.52) points in the control group(P<0.05). Conclusion Cluster nursing intervention applied to acute severe organophosphorus pesticide poisoning can effectively promote the rehabilitation of patients, reduce the incidence of complications, and improve the satisfaction of nursing.
Objective To explore the application value of cluster nursing in acute severe organophosphorus pesticide poisoning. Methods A total of 44 patients with acute severe organophosphorus pesticide poisoning treated in Shenzhen Hospital, Southern Medical University from January 2017 to September 2018 were selected as the research subjects. According to the random number table, they were divided into observation group and control group, with 22 cases in each group. The control group was given routine nursing intervention, while the observation group was given cluster nursing intervention. The clinical efficacy, incidence of complications, and nursing satisfaction of the two groups were compared. Results The dosage of atropine, the recovery time of CHE activity to 60%, and the hospitalization time in the observation group were(288.19±124.18) mL,(142.18±20.35) h,(10.26±1.24) d, respectively, significantly less than(356.54±132.44) m L,(173.45±27.64) h,(13.15±2.58) d in the control group(P<0.05). The incidence of complications in the observation group(9.09%) was significantly lower than that in the control group(9.09%), and the difference was statistically significant(P<0.05). The scores of nursing satisfaction survey, including nurse-patient communication, health education, and nursing operation in the observation group were(9.36±0.87) points,(9.22±0.60) points,(9.14±0.61) points, significantly higher than(8.63±0.44) points,(8.38±0.54) points,(8.56±0.52) points in the control group(P<0.05). Conclusion Cluster nursing intervention applied to acute severe organophosphorus pesticide poisoning can effectively promote the rehabilitation of patients, reduce the incidence of complications, and improve the satisfaction of nursing.
引文
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[12]徐立,赵芳芳,郑佳佳,等.阿托品化定量管理在有机磷中毒患者护理中的应用[J].解放军医院管理杂志,2016,23(5):482-484.
[13]刘志芳,李少棉,潘美珠.集束化护理策略在高危药物静脉使用中的应用[J].海南医学,2014,25(5):769-771.
[14]王丽娜,宋敏,柏玲,等.集束化护理干预在急性重症胰腺炎肠内营养中的应用[J].中华全科医学,2015,13(9):1534-1536.
[15]王升英,初慧中,于雁,等.集束化护理在老年患者骨科术后下肢深静脉血栓预防中的效果观察[J].中国护理管理,2016,16(2):263-265.
[16]陈霞.集束化护理理念的临床应用现状[J].天津护理,2015,23(2):181-182.
[2]臧泽林,祝瑞,李鹏飞.血液灌流疗法对急性有机磷农药中毒患者机体内环境的影响[J].海南医学,2016,27(15):2450-2452.
[3]王升英,初慧中,于雁,等.集束化护理在老年患者骨科术后下肢深静脉血栓预防中的效果观察[J].中国护理管理,2016,16(2):263-265.
[4]宗小敏,王模奎.集束化护理干预措施预防新生儿呼吸机相关肺炎的效果[J].中国感染控制杂志,2016,15(4):266-268.
[5]曹明菊.有机磷中毒的诊断及抢救[J].临床合理用药杂志,2014,7(12):67.
[6]柯欣,支绍册,郑丹,等.急性有机磷农药中毒患者预后相关因素分析[J].中华劳动卫生职业病杂志,2015,33(3):186-189.
[7]ADINEW GM,ASRIE AB,BIRRU EM.Pattern of acute organophosphorus poisoning at university of gondar teaching hospital,Northwest Ethiopia[J].BMC Res Notes,2017,10(1):149.
[8]董晖,甄根深,闾洪伟.68例危急重症有机磷中毒患者的临床急救措施及救治成功的预后分析[J].中国医药导刊,2016,18(1):50-52.
[9]张威,黄昌保,江云,等.急性重度有机磷农药中毒并发症的发生与毒物种类之间的相关性分析[J].中国急救复苏与灾害医学杂志,2017,12(4):309-311.
[10]张威,黄昌保,江云,等.六种有机磷农药急性中毒早期并发症的对比研究[J].中华急诊医学杂志,2017,26(11):1247-1251.
[11]唐勤熔.急性重度有机磷农药中毒患者的急救及护理干预[J].现代中西医结合杂志,2013,22(9):1006-1007.
[12]徐立,赵芳芳,郑佳佳,等.阿托品化定量管理在有机磷中毒患者护理中的应用[J].解放军医院管理杂志,2016,23(5):482-484.
[13]刘志芳,李少棉,潘美珠.集束化护理策略在高危药物静脉使用中的应用[J].海南医学,2014,25(5):769-771.
[14]王丽娜,宋敏,柏玲,等.集束化护理干预在急性重症胰腺炎肠内营养中的应用[J].中华全科医学,2015,13(9):1534-1536.
[15]王升英,初慧中,于雁,等.集束化护理在老年患者骨科术后下肢深静脉血栓预防中的效果观察[J].中国护理管理,2016,16(2):263-265.
[16]陈霞.集束化护理理念的临床应用现状[J].天津护理,2015,23(2):181-182.