摘要
目的探究预见性护理干预在重症创伤性休克患儿救治中的应用效果。方法选择2019年1月至2021年3月收治的92例重症创伤性休克患儿,根据护理方法不同将其分为对照组和观察组,各46例。患儿入院后接受紧急救治,对照组在急诊救治过程中给予常规护理干预,观察组在对照组基础上开展预见性护理干预。比较两组的救治效果。结果观察组的总出血量、总补液量、血压变异率及并发症总发生率低于对照组,有效抢救时间和ICU住院时间短于对照组,救治总有效率高于对照组(P<0.05)。观察组患儿家属的满意度显著高于对照组(P<0.05)。结论预见性护理干预能有效减少重症创伤性休克患儿出血量和补液量,稳定患儿血压,减少并发症的发生,提高临床救治效果及家属满意度。
Objective To explore the application effect of predictive nursing intervention in the treatment of children with severe traumatic shock.Methods A total of 92 children with severe traumatic shock admitted from January 2019 to March 2021 were selected and divided into control group and observation group according to different nursing methods,with 46 cases in each group.The children received emergency treatment after admission.The control group was given routine nursing intervention during emergency treatment,and the observation group was given predictive nursing intervention on the basis of the control group.The treatment effects of the two groups were compared.Results The total bleeding volume,total rehydration volume,blood pressure variability rate and total incidence of complications in the observation group were lower than those in the control group,the effective rescue time and ICU hospitalization time were shorter than those in the control group,and the total effective rate of treatment was higher than that in the control group(P<0.05).The satisfaction of family members in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Predictive nursing intervention can effectively reduce the amount of bleeding and rehydration in children with severe traumatic shock,stabilize the blood pressure in children,reduce the occurrence of complications,and improve the clinical treatment effect and family satisfaction.
作者
程娟
薛金亚
姜亚萍
苏宇飞
闵美荣
姬蓉
张晓艳
CHENG Juan;XUE Jinya;JIANG Yaping;SU Yufei;MIN Meirong;JI Rong;ZHANG Xiaoyan(Xi'an Children's Hospital,Xi'an 710003;Traditional Chinese Medicine Hospital of Shangnan County,Shangluo 726303,China)
出处
《临床医学研究与实践》
2024年第1期153-156,共4页
Clinical Research and Practice
基金
2021年西安市儿童医院院级项目(No.2021D04)。
关键词
创伤
休克
急救
预见性护理干预
trauma
shock
emergency treatment
predictive nursing intervention
