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下肢多发性骨折合并休克患者进行急诊护理干预效果分析

Analysis of the Effect of Conducting Emergency Nursing Intervention in Patients with Multiple Lower Extremity Fractures Combined with Shock
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摘要 目的:分析下肢多发性骨折合并休克患者在急诊护理干预下对病情控制的效果。方法:选取2021年8月—2022年8月滨州医学院附属医院急诊科接治的下肢多发性骨折合并休克患者80例为研究对象,根据是否实施急诊护理干预分为对照组(2021年8月—2022年1月,未实施急诊护理干预)与观察组(2022年2—8月,实施急诊护理干预),各40例。对照组给予传统护理,观察组给予急诊护理干预。比较两组护理效果、疼痛程度、临床康复指标、风险事件发生情况。结果:观察组护理总有效率高于对照组,差异有统计学意义(P=0.007);观察组1级疼痛发生率高于对照组,3级、4级疼痛发生率低于对照组,差异有统计学意义(P<0.05);观察组镇痛药使用频率少于对照组,急诊分诊时间、护送交接时间均短于对照组,差异有统计学意义(P<0.05);观察组风险事件发生率低于对照组,差异有统计学意义(P=0.047)。结论:下肢多发性骨折合并休克患者经过急诊护理干预后病情控制效果理想,可促进患者尽快恢复,预防风险事件,可缓解患者疼痛情况,缩短时间指标。 Objective:To analyze the effect of patients with multiple lower extremity fractures combined with shock on condition control under emergency nursing intervention.Methods:Eighty patients with multiple lower extremity fractures combined with shock who were admitted to the Department of Emergency Medicine of the Affiliated Hospital of Binzhou Medical College from August 2021 to August 2022 were selected as the study subjects.According to whether the emergency nursing intervention was implemented or not,they were divided into the control group(August 2021-January 2022,no emergency nursing intervention was implemented)and the observation group(February-August 2022,emergency nursing intervention was implemented),forty cases each.The control group was given traditional nursing care,and the observation group was given emergency nursing intervention.Compare the nursing effect,pain level,clinical rehabilitation indexes,and the occurrence of risky events in the two groups.Results:The total nursing effectiveness rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.007);The incidence of grade 1 pain in the observation group was higher than that of the control group,and the incidence of grade 3 and 4 pain was lower than that of the control group,and the difference was statistically significant(P<0.05);The frequency of analgesic use in the observation group was less than that in the control group,and the emergency triage time and escort handover time were shorter than that in the control group,with statistically significant differences(P<0.05);The incidence of risky events in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.047).Conclusion:The patients with multiple lower extremity fractures combined with shock had ideal condition control after emergency nursing intervention,which can promote the patients to recover as soon as possible,prevent risky events,can alleviate the patients'pain con
作者 刘明荣 吕帅帅 Liu Mingrong;Lv Shuaishuai(Affiliated Hospital of Binzhou Medical College,Binzhou 256600,Shandong Province,China)
出处 《中外医药研究》 2023年第14期118-120,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 急诊护理干预 下肢多发性骨折 休克 Emergency nursing intervention Multiple lower extremity fractures Shock
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