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量化管理护理干预在急性中毒患者院前急救中的应用效果

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目的:分析量化管理护理干预在急性中毒患者院前急救中的应用效果。方法:选择 2021 年 3 月—2023 年 2 月黔南州人民医院收治的 76 例急性中毒患者作为研究对象,以入院顺序分为两组,各 38 例。对照组采取常规院前急救护理,观察组在对照组基础上采取量化管理护理。比较两组抢救指标评分、并发症发生率、预后指标、患者满意度。结果:观察组生命体征、意识恢复、中毒症状及重要器官功能损害评分均高于对照组,死亡率低于对照组,差异有统计学意义(P<0。05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0。05)。急救后,两组一氧化碳中毒患者一氧化碳血红蛋白(HbCO)饱和度低于急救前,且观察组低于对照组,差异有统计学意义(P<0。05)。急救后,两组格拉斯哥昏迷评分法(GCS)评分高于急救前,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组总满意度高于对照组,差异有统计学意义(P<0。05)。结论:对急性中毒患者开展院前急救的量化管理护理,有助于提升抢救效果,更好地维持患者生命体征,可降低并发症发生风险,更利于为患者提供满意服务。
Application Effect of Quantitative Management Nursing Intervention in Prehospital Emergency for Patients with Acute Poisoning
Objective:To analyze the application effect of quantitative management nursing intervention in prehospital emergency for patients with acute poisoning.Method:A total of 76 patients with acute poisoning admitted to the People's Hospital of Qiannan from March 2021 to February 2023 were selected as the study objects and divided into two groups according to the admission order,with 38 cases in each group.The control group received routine pre-hospital emergency nursing,and the observation group received quantitative management nursing based on the control group.The score of rescue index,complication rate,prognosis index and patients'satisfaction were compared between the two groups.Result:The scores of vital signs,consciousness recovery,poisoning symptoms and functional impairment of important organs in the observation group were higher than those in the control group,and the mortality was lower than that in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After first aid,carbon monoxide hemoglobin(HbCO)saturation of the two groups of patients with carbon monoxide poisoning were lower than those before first aid,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).After first aid,the Glasgow coma scale(GCS)scores of the two groups were higher than those before first aid,and that in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The total satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The quantitative management nursing in prehospital emergency for patients with acute poisoning is helpful to improve the rescue effect,better maintain the vital signs of patients,reduce the risk of complications,and provide patients with satisfactory services.

Acute poisoningPrehospital emergencyQuantitative management nursing intervention

冉光亮

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黔南州人民医院 贵州 都匀 558000

急性中毒 院前急救 量化管理护理干预

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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