摘要
目的:探讨"四位一体"急救护理流程救治急性有机磷中毒患者的应用效果.方法:选取 2018 年 5 月至2022 年 10 月本院急诊科收治的 95 例急性有机磷中毒患者作为研究对象.按照急救护理流程,将其分为观察组(n =48,采用"四位一体"急救护理)和对照组(n =47,采用常规急救护理).比较两组患者抢救相关指标水平、生活质量量表(GQOL-74)及存活率.结果:护理后,观察组患者用药时间、首次洗胃时间、中毒症状消失时间及胆碱酯酶恢复≥60%时间均短于对照组,差异均有统计学意义(P＜0.05);观察组GQOL-74 中心理、躯体、社会功能和物质生活评分均高于对照组,差异有统计学意义(P＜0.05);观察组存活率(95.83%,46/48)高于对照组(82.98%,39/47),差异有统计学意义(P＜0.05).结论:"四位一体"急救护理流程救治急性有机磷中毒患者可有效缩短救治时间,提高患者生活质量及存活率.
Abstract
Objective:To explore the application effect of "four in one" emergency nursing process management in patients with acute organophosphate poisoning.Methods:Ninety-five patients with acute organophosphorus poisoning who were admitted to the department of emergency of our hospital from May 2018 to October 2022 were selected as the study objects.They were divided into the observation group(n =48,treated with "four in one" emergency nursing)and the control group(n =47,treated with routine emergency care);the level of rescue-related indicators,the generic quality of life inventory-74(GQOL-74),and survival rates were compared between the two groups.Results:After nursing,the time for medication,first gastric lavage,disappearance of toxic symptoms,and recovery of cholinesterase≥60%in the observation group were all shorter than those in the control group,the differences were statistically significant(P＜0.05);the scores of psychological,physical,social function and material life of GQOL-74 in the observation group were higher than those of the control group,the differences were statistically significant(P＜0.05);the survival rate of the observation group(95.83%,46/48)was higher than that of the control group(82.98%,39/47),the difference was statistically significant(P＜0.05).Conclusion:Four in one emergency nursing process management applied to patients with acute organophosphate poisoning can effectively shorten the treatment time,improve the quality of life and the survival rate of patients.
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