摘要
目的探讨普通外科腹部外伤的急救与护理效果。方法选取2018年9月至2019年11月大连市第四人民医院收治的82例腹部外伤患者分为观察组和对照组,每组41例。观察组予以综合护理干预,对照组予以常规护理干预,两组患者的急救方法一致,比较两组患者的护理效果。结果观察组患者的病情评估时间、转运时间、急救时间分别为(3.12±0.15)、(5.44±0.27)、(41.59±2.57)min,对照组分别为(5.62±0.31)、(7.84±0.61)、(63.92±3.09)min,差异均有统计学意义(均P <0.05);观察组抢救成功率为97.56%,对照组为80.49%,差异有统计学意义(P <0.05);观察组病死率为2.44%,对照组为19.51%,差异均有统计学意义(P <0.05);观察组并发症发生率为2.44%,对照组为21.95%,差异均有统计学意义(P <0.05);观察组患者在心理、用药、病情观察、环境干预及健康教育满意度方面的评分均高于对照组,差异均有统计学意义(均P <0.05)。结论在普通外科腹部外伤患者的急救过程中实施综合护理干预,有助于提高急救效率及抢救成功率。
Objective To investigate the emergency treatment and nursing effect of abdominal trauma in general surgery.Methods A total of 82 patients with abdominal trauma admitted to Dalian Fourth People's Hospital from September 2018 to November 2019 were selected and divided into observation group and control group,with 41 patients in each group.The observation group was given comprehensive nursing intervention,the control group was given routine nursing intervention,the two groups of patients with the same fi rst-aid method,the two groups of patients with the nursing effect was compared.Results The assessment time,transport time and emergency treatment time of patients in the observation group were(3.12±0.15),(5.44±0.27)and(41.59±2.57)min,respectively,while those in the control group were(5.62±0.31),(7.84±0.61)and(63.92±3.09)min,with statistically signifi cant diff erences(all P<0.05).The rescue success rate was 97.56%in the observation group,and was 80.49%in the control group,the difference was statistically signifi cant(P<0.05).The fatality rate was 2.44%in the observation group,and was 19.51%in the control group,the difference was statistically significant(P<0.05).The incidence of complications was 2.44%in the observation group,and was 21.95%in the control group,the diff erence was statistically signifi cant(P<0.05).The scores of patients in the observation group were higher than those in the control group in psychology,drug use,condition observation,environmental intervention and satisfaction with health education,and the diff erences were statistically signifi cant(all P<0.05).Conclusion Comprehensive nursing intervention is helpful to improve the first aid efficiency and success rate in the first aid of patients with general abdominal trauma.
作者
宋晓琦
SONG Xiaoqi(Department of Emergency,Dalian Fourth People's Hospital,Dalian 116031,China)
出处
《中国医药指南》
2020年第24期222-223,228,共3页
Guide of China Medicine
关键词
腹部外伤
急救
普通外科
综合护理干预
预后
Abdominal trauma
First aid
General surgery
Comprehensive nursing intervention
Prognosis
