膀胱压分级预警标识在腹部闭合性损伤患者护理中的应用

Application of graded warning mark of bladder pressure in patients with abdominal closed injury nursing

目的：探讨膀胱压分级预警标识在腹部闭合性损伤患者护理中的应用效果。方法采用随机数字表法将62例腹部闭合性损伤患者分成观察组32例和对照组30例。观察组依据患者膀胱压高低采取不同预警标识，实施相应护理干预措施，对照组按照护理级别进行常规护理。比较两组患者的手术率、并发症发生率、病死率、住ICU时间及护理质量检查得分。结果观察组手术率78．1％，高于对照组的53．3％，差异有统计学意义（χ2＝4．249，P＜0．05）；观察组并发症发生率9．4％，低于对照组的30．0％，差异有统计学意义（χ2＝4．220，P＜0．05）；观察组病死率6．3％，低于对照组的16．7％，差异无统计学意义（χ2＝1．677，P＞0．05）；观察组住ICU时间（13．25±2．806）d，短于对照组的（15．60±5．600）d，观察组护理质量检查得分（95．84±2．665）分，高于对照组的（90．67±3．273）分，差异有统计学意义（ t值分别为-2．068，6．849；P＜0．05）。结论对腹部闭合性损伤患者应用膀胱压分级预警标识，可及时发现病情变化，准确把握手术时机，降低并发症发生率，有效提高监护水平。

Objective To explore the application effect of warning mark according to bladder pressuregrade in patients with abdominal closed injury nursing .Methods Through random number table method, sixtytwopatients with abdominal closed injury were divided into experimental group （n =32） and control group （n =30）.The control group received conventional nursing measures , while patients in the experimental group weregiven nursing intervention as different warning mark according to bladder pressure .The operation rate,complication rate, mortality, days in ICU and the scores of nursing quality check were compared .Results Theoperation rate was 78.1% in the experimental group, which was higher than 53.3% in the control group with asignificant difference （χ2 =4.249,P ＆lt;0.05）.The complication rate was 9.4% in the experimental group,which was lower than 30.0% in the control group with a significant difference （χ2 =4.220,P ＆lt;0.05）.Themotility was 6.3% in the experimental group, which was lower than 16.7% in the control group with nosignificant difference （χ2 =1.677,P ＆gt;0.05）.The days in ICU were （13.25 ＆#177;2.806）d in the experimentalgroup, which was shorter than （15.60 ＆#177;5.600） d in the control group with a significant difference （t =-2.068, P ＆lt;0.05）.And the score of nursing quality check was （95.84 ＆#177;2.665）in the experimental group,which was than that in the control group （90.67 ＆#177;3.273） with a significant difference （t =6.849,P ＆lt;0.05）. Conclusions Warning mark according to bladder pressure grade in patients with abdominal closed injury candiscover disease change timely, determine operation time accurately, decrease complication rate and mortality,and improve monitoring abilities effectively.