摘要
目的探讨不同护理方法对电击伤患者愈后的影响。方法重度电击伤患者46例,随机分为A组和B组,各23例,A组患者采用常规护理方法,B组患者进行电击伤标准化护理,比较2组患者在平均办理入院时间、入院当天处置时间、健康教育知晓率、便秘发生率、并发症发生率、平均住院天数、患者满意度、出院前日自理能力方面的差异。结果 A组平均办理入院时间为(35.2±0.2)min,B组为(24.7±0.3)min;A组入院当天处置时间为(60.4±0.3)min,B组为(49.5±0.2)min;2组患者在入院24、72 h,术后48 h、术后1周,出院前1天填写电击伤相关知识调查问卷,A组健康教育知晓率为69.5%,B组为95.3%;A组便秘发生率为26.1%,B组为4.3%;A组并发症发生率为13%,B组为4.3%;A组平均住院日为(35.2±0.2)d,B组为(27.5±0.3)d;2组患者在出院前1天填写护理满意度调查表,A组非常满意人数占65.2%,B组占95.7%;2组患者出院前1天,出院后2周、4周采用日常生活能力评定Barthel指数量表进行自理能力评估,A组完全自理人数占52.2%,B组占86.9%,2组比较差异有统计学意义(P<0.05)。结论和常规护理相比,电击伤标准化护理更加人性化,护理更加全面细致,能够更好地满足患者的心理需求,提高患者的满意度,有效减少患者的并发症,缩短愈合时间,提高患者的生活质量。
Objective To investigate the effect of different nursing methods for patients with electrical injury after healing. Methods A total of 46 severe electrical injury patients were randomly divided into A group and B group, with 23 cases in each group. A group was treated with convention- al nursing methods, B group with electrical injury of standardized nursing. Hospitalization time, the average for the disposal of the admission day time, awareness of health education the rate of constipa- tion difference rate, complication rate, average hospitalization days, patients＇ satisfaction, the selfcare ability of hospital were compared. Results Average admission time in A group was （35.2 ± 0. 2） minutes, and （24.7 ± 0.3 ） minutes in group B ; Treatment time on admission in A group was （60.4 ±0.3） minutes, and （49.5 ±0.2） minutes in group B. Health education awareness rate in A group in 24, 72 hours, 1 week after operation before discharge was 69.5%, and 95.3% in B group; The incidence of constipation was 26.1% in A group, and 4.3% in B group; Complication rate in A group was 13% , and 4.3% in B group; The average duration of hospitalization in group A was （35.2 ±0.2） d, and （27.5 ±0.3） in group B; Satisfied people in A group accounted for 65.2% , 95.7% in group B ; Complete self-care ability by self-care ability assessment accounted for 52.2% in A group, and 86.9% in B group. Conclusion Compared with routine nursing, the electrical injury of standardized nursing care is more humane, more comprehensive and detailed, it can better meet the psychological needs of patients, improve patients＇ satisfaction, reduce complications, shorten the healing time, and improve the quality of life of patients.
出处
《实用临床医药杂志》
CAS
2017年第10期101-104,共4页
Journal of Clinical Medicine in Practice
关键词
电击伤
标准化护理
急救
electric injury
standardized nursing
rescue
