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共情共赢护理模式在急诊服毒洗胃患者中的应用 被引量:7

Application of empathic and win-win nursing model in emergency treatment of patients taking poison and receiving gastric lavage operation
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摘要 目的:探讨共情共赢护理模式在急诊服毒洗胃患者中的临床应用效果。方法:选择2012年1月~2015年12月本院急诊收治的服毒患者80例,并随机等分为对照组和观察组,观察组采用共情共赢护理模式;对照组实施常规护理,如心理护理、药物治疗护理、生命体征观察等,比较两组留置胃管成功次数、留置胃管成功平均耗时、一次置管成功率、抢救成功率及干预期间患者发生的不良反应。结果 :观察组留置胃管成功次数少于对照组(P<0.05),留置胃管成功平均耗时短于对照组(P<0.05),一次置管成功率明显高于对照组(P<0.05),患者抢救成功率高于对照组(P<0.05),发生呛咳、胃内反流及口腔黏膜损伤少于对照组(P<0.05)。结论:针对急诊服毒洗胃患者实施共情共赢护理,能有效提高留置胃管成功率,缩短操作时间,减少不良反应,进而提高治疗效果。 Objective:To discuss the clinical application effect of empathic and win-win nursing model in emergency treatment of patients taking poison and receiving gastric lavage operation.Methods:Selected 80 patients taking poison admitted in the emergency department of our company from January to December 2012,and they were divided into control group and observation group randomly,with empathic and win-win nursing model adopted in the observation group and routine nursing implemented in the control group,like psychological nursing,drug treatment nursing and observation of vital signs,comparison was made on the success frequency of gastric intubation,average time consumption for the success of gastric intubation,one-time success rate of gastric intubation,success rate of rescue and adverse reaction of the patients during interference.Results:The success rate of gastric intubation in the observation group was less than that in the control group(P<0.05),the average time consumption for success of gastric intubation was higher than that in the control group(P<0.05),the one-time success rate of gastric intubation was significantly higher than that in the control group(P<0.05),the success rate of patient rescue was higher than that in the control group(P<0.05) and the occurring of bucking,intragastric influx and mucosal injury were less than those in the control group(P<0.05).Conclusion:The emphatic and win-win nursing for the patients taking poison and receiving gastric lavage operation could effectively increase the success rate of gastric intubation,shorten the operation time and reduce adverse reaction,so as to improve the treatment effect.
作者 王发凤 张涛
出处 《护理实践与研究》 2017年第1期134-136,共3页 Nursing Practice and Research
关键词 共情共赢护理 急诊 服毒 置胃管 Empathic and win-win nursing Emergency Taking poison Gastric intubation
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