评判性思维模式护理干预在有机磷中毒患者阿托品化中的效果

The Clinical Evaluation of Critical Thinking Mode Nursing Intervention on Atropine Using

目的:探讨护士在有机磷中毒患者阿托品化观察中进行评判性思维护理干预的临床效果。方法:将2013年1-12月期间重度有机磷中毒患者80例作为观察组,将2012年1-12月期间山东省聊城市人民医院收治的重度有机磷中毒患者80例作为对照组。对照组对阿托品化进行常规观察与护理;观察组应用评判性思维对阿托品化进行护理观察与干预。观察对比两组患者阿托品化误判率和中间综合征发生例数。结果:对照组患者出现阿托品不足7例,阿托品过量5例,阿托品依赖4例,病情反跳4例,中间综合征15例;观察组依次为3例、1例、1例、1例、6例。两组患者阿托品化误判率和中间综合征发生例数经统计学分析比较,差异均有统计学意义(P<0.01,P<0.05)。结论:在阿托品化观察过程中,应用评判性思维模式实施护理干预,可以提高护士评判性思维能力,降低阿托品化误判率,减少中间综合征的发生。

Objective To investigate the clinical effect of critical thinking mode nursing intervention on the use of atropine. Methods 80 cases of severe organophosphorus poisoning patients were selected as the observation group from January 2013 to December 2013,and another 80 cases of severe organophosphorus poisoning patients as the control group from January 2012 to December 2012. The control group were treated according to the conventional atropine indications,while observation group given dynamic observation and critical thinking mode nursing intervention. Then the two groups＇ s atropine misjudgment rate and intermediate syndrome cases were observed and compared. Results There were 5 cases of atropine inadequate,6 cases of atropine overdose,4 cases of atropine dependence,15 cases of intermediate syndrome; 3 cases of disease rebound atropine; and that in observation group,was 3 cases,1 case,1 case,1 case,6 cases respectively. There were signifi cant differences between the two groups＇ atropine misjudgment rate and intermediate syndrome,and the P values were P〈0.01,P〈0.05,P〈0.05 respectively. Conclusion In the observation process of atropine,the application of dynamic observation and nursing intervention in critical thinking mode can improve nurses＇ critical thinking ability,reduce the atropine misjudgment rate,reduce the occurrence of intermediate syndrome.