四肢创伤急救阶段的护理工作研究

Study on Nursing Work About Limbs Trauma During First Aid Phase

目的 通过对平时四肢伤急救护理项目的总结,探讨未来海上工作四肢创伤抢救特点,人力资源的利用,确立护理培训内容。方法 采用PRN分类方法统计44例四肢创伤患者入院24、48、72h所接受的护理项目及时数,经过三轮医疗、护理专家的筛选,将8 类20 项直接护理项目作为筛选后保留项目。结果 四肢创伤患者入院24h内接受的直接护理时数与第2个24h内所接受的护理时数经统计学处理差异具有显著性(P <0.05),其中治疗、诊断。

Objective To observe the nursing time and categories of limbs wounded patients received in normal time, and discuss the manpower distribution of nurses and in training process what we should attach during sea fight in future. Methods Using PRN system, the direct nursing time and categories of 44 patients with limbs trauma received during the first 24, 48, 72 hours after the admission were calculated. Through three times selecting by the clinical nurse and treatment specialists, eight groups and twenty items were retained. Results The direct nursing time which the patients received during the first 24 hours, the second and the third 24 hours were different in statistics, （P 〈 0.05） ; the patient＇s number receiving the particular direct nursing categories in treatments, diagnosis and excretion were much higher during the first 24 hours. Conclusions The nursing workloads of patients with limbs trauma in the first day are different with that in the second and the third day.