口服有机磷中毒患者的集束化护理干预

Bundled Nursing Intervention of Patients with Oral Organophosphorus Pesticide Poisoning

目的:探讨集束化护理干预对口服有机磷中毒患者的作用。方法:选择口服有机磷中毒94例,按照抽签法将患者分为集束化护理组和常规护理组,每组47例。常规护理组进行常规护理,集束化护理组在常规护理同时进行针对性护理,包括并发症的预防和护理、心理护理,观察两组清洁肠道时间、阿托品化时间、M样症状消失时间、胆碱酯酶活力恢复时间、呼吸机使用时间、苏醒时间、用药次数、中间综合征发生率、死亡率及住院时间,同时统计患者对护理工作的满意情况。结果:集束化护理组清洁肠道时间、阿托品化时间、M样症状消失时间、胆碱酯酶活力恢复时间、呼吸机使用时间明显低于常规护理组,集束化护理组苏醒时间、用药次数、中间综合征发生率、死亡率明显低于常规护理组,集束化护理组住院时间、住院费用明显少于常规护理组,满意度明显高于常规护理组,两组比较差异均有统计学意义(P<0.05)。结论:集束化护理在口服有机磷中毒患者的救治过程中具有迅速、高效、降低药物使用,促进患者恢复,降低治疗费用的积极作用,具备较好的社会、经济效益,值得临床推广应用。

Objective： To investigate the effects of patients with oral organophosphorus pesticide poisoning by bundled nursing intervention.Method：94 patients with oral organophosphorus pesticide poisoning were selected.According to draw mothod,they were divided into bundled nursing group（n=47） and routine nursing group（n=47）. Routine nursing group were given routine nursing, bundled nursing group were done complications prevention and nursing, psychological nursing on basis of routine nursing. the intestinal tract cleaning time, atropinization time, Msymptoms disappear time, cholinesterase activity recovery time, ventilation time,awakening time, number of drugs, incidence of intermediate syndrome, mortality and hospitalization time were compared between two groups. At the same time, the satisfaction with nursing work of patients were to gathered statisticsly.Result：The intestinal tract cleaning time, atropinization time, msymptoms disappear time, cholinesterase activity recovery time, ventilation time in bundled nursing group were significantly lower than those in routine nursing group（P〈0.05）. The awakening time, number of drugs, incidence of intermediate syndrome, mortality in bundled nursing group were significantly lower than those in routine nursing group（P〈0.05）. The hospitalization time and hospital costs in bundled nursing group were significantly lower than those in routine nursing group, and the satisfaction were significantly higher than that in routine nursing group（P〈0.05）.Conclusion：During treating patients with oral organophosphorus pesticide poisoning, bundled nursing has some positive role such as rapid and efficient, reducing drug use, promoting patients recovery, rducing, cost of treatment.it has good social and economic benefits, it is worthy of clinical application.