急诊手外伤的发生原因及护理对策分析

Causes and nursing countermeasures of hand trauma in emergency department

目的分析急诊手外伤的发生原因及护理对策。方法采用调查问卷法收集我院收治的528例手外伤患者的临床资料,分析手外伤的主要致伤原因,并随机将528例患者分为观察组(特殊护理)与参照组(常规护理),每组264例。比较两组患者的护理效果。结果手外伤的主要致伤原因为机械损伤(61.0%)及生活事故(39.0%),18~45岁患者手外伤占比较高,且男性占比高于女性。护理后,观察组患者的护理优良率为94.7%,明显高于参照组的75.8%,差异具有统计学意义(P<0.05)。结论手外伤发生的主要原因为机械损伤及生活事故,且受性别、年龄、工作环境、防护措施及心理状态等多种因素影响,给予手外伤患者护理对策时,在常规的清创、复位基础上还需给予必要的健康教育、功能锻炼督促及心理干预。

Objective To analyze the causes and nursing measures of hand trauma in emergency department. Methods The clinical data of 528 hand trauma patients admitted in emergency department of our hospital were collected, and the nursing measures were analyzed. The 528 patients were randomly divided into observation group（special nursing） and reference group（routine nursing）, with 264 cases in each group, and the nursing effects were compared between the two groups. Results Mechanical injuries（61.0%） and life accidents（39.0%） were the main causes of hand trauma, the incidence of hand trauma in 18-45 years old patients was higher, and that of the male patients was higher than the female patients.After nursing, the excellent and good rate of nursing of the observation group was 94.7%, which was higher than 75.8% of the reference group（P0.05）. Conclusion The main causes of hand trauma are mechanical injuries and life accidents, and it is influenced by gender, age, working environment, protective measures and psychological state of the patients. On the basis of routine debridement and reduction, the necessary health education, functional exercise supervision and psychological intervention should be given to the patients with hand trauma.