摘要
目的：研究严重肝外伤患者进行护理干预对损伤控制性手术治疗效果的影响，探讨护理干预的管理方法。方法：临床纳入2014年5月-2016年5月期间我院外科收治的148例严重肝外伤患者。所有患者均需进行损伤控制性手术治疗。自2014年5月起，我院实施护理干预管理，将2014年5月-2015年5月期间未实施护理干预管理的74例患者设为对照组，采用传统护理模式进行护理；2015年5月-2016年5月期间实施护理干预管理的74例患者设为观察组，采用护理干预进行护理。观察2组患者手术情况、免疫功能水平、疼痛情况并发症以及患者满意度等，对实施前后护士护理水平进行对比，探讨护理干预管理对肝外伤损伤控制性手术治疗的临床效果，总结护理干预管理的具体方法。结果：2组患者围手术期给予不同护理，结果发现，观察组患者手术时间、出血量及住院时间均优于对照组患者，差异有统计学意义（P〈0．05）；术后观察组患者免疫功能水平明显高于对照组，疼痛评分低于对照纽，差异有统计学意义（P〈0．05）；术后观察组患者并发症发生率仅为2．7％，远低于对照纽的17．57％，差异有统计学意义（P〈0．05）；问卷调查患者满意度发现观察组患者满意度高达97．3％，远高于对照组的85．14％，差异有统计学意义（P〈0．05）；护理干预管理实施后护士护理水平明显高于护理干预管理实施前，差异有统计学意义（P〈0．05）。结论：护理干预管理可明显提高护士对肝外伤损伤控制性手术的护理水平，提高对患者的治疗效果，促进患者术后的恢复，值得临床管理的应用及推广。
Objectiv： To study the effect of nursing intervention management in treatment of patients with severe hepatic injury on the therapeutic effect of damage controlled operation and to explore the management of the nursing intervention. Methods： 148 cases of patients with severe hepatic injury admitted into the hospital from May 2014 to May 2016 and 40 cases of clinical nursing staffs were selected. All patients were treated with damage controlled operation. The nursing intervention had been implemented since May 2014. 74 patients without nursing intervention during May 2014 to May 2015 were regarded as the control group receiving conventional nursing while another 74 patients with nursing intervention during May 2015 to May 2016 as the observation group received nursing intervention. The operative status, level of the immune function, the condition of pain, complications and patients satisfaction of the two groups were observed. The levels of nursing before and after the implementation of management were compared to explore the clinical effect of nursing intervention management on the damage controlled operation of hepatic injury. The specific methods of nursing management were summerized. Results： Patients of the two groups were given different nursing during the operation and it was found that the operative time, volume of bleeding and time of hospitalization of the observation group were better than those of the control group and the difference was statistically significant （ P 〈 0.05 ）. The level of the immune function of the observation group after the operation was significantly higher than that of the control group while the pain score was lower than that of the control group. The difference was statistically significant （ P 〈 0.05 ） ; the occurrence rate of complications after the operation of the observation group was 2.7% which was much lower than 17.57% of the control group and the difference was statistically significant （P 〈 0.05 ）. After the patients＇satisfaction survey, it wa
作者
耿秀娟
GENG Xiu-juan(Department of operating room, Heze city hospital Heze, Shandong 27400)
出处
《中国伤残医学》
2018年第7期33-36,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
护理干预
肝外伤
损伤控制性手术
治疗效果
管理
Nursing intervention
Hepatic injury
Damage controlled operation
Curative effect
Management
