急性高原反应患者的护理干预及因素分析

Related Factors for Acute Altitude Sickness in Tourists and the Nursing Intervention

目的讨论发生高原反应患者的治疗及护理,并就其相关因素进行分析。方法对2012年4月-9月236例在稻城县旅游,发生高原反应的患者及时予以药物、吸氧等救治措施,并在加强病情观察基础上,给予心理、休息、饮食及健康宣教等护理。结果经治疗,23例患者康复,2例高原性脑水肿患者转至低海拔地区治疗后痊愈。结论低海拔地区游客进入高原易发生高原反应,事前做好预防工作并预防性给药,进入高原后少动多休息是防范高原反应发生的重要因素,护理人员加强对游客的健康宣教可以有效保障其旅游安全。

Objective To discuss the treatment and nursing care for Daocheng tourists with acute altitude sickness, and analyze its related factors. Methods From April to September 2012, 236 Daocheng tourists with acute altitude sickness were given drugs in time, and underwent oxygen inspiration. On the basis of observing the disease, nurses also provided care and health education to the patients. Results By guiding patients＇ psychology, diet, oxygen uptake, medication and health related education, we cured 234 patients, and the rest 2 with high altitude cerebral edema were cured after being transferred to low-lying areas. Conclusions Tourists from low-lying areas are vulnerable to altitude sickness when touring high lands. Preventive medicine before entering highland areas, more rest and less exercise are important factors to prevent the occurrence of altitude sickness. Health education from nursing care providers can effectively guarantee the safety of tourists entering plateau.