自制改良简易翻身单在急诊重症患者中的应用

The application of self-made and simple sheet which had been improved for turning over patients with serious diseases in emergency

目的:探讨自制改良简易翻身单在急诊重症患者中的应用效果。方法:将我院2016年10月~2017年3月诊治的急诊重症患者120例随机等分为研究组与对照组,对照组采用传统翻身法;研究组采用自制改良简易翻身单翻身,对比两组患者翻身血压(SBP、DBP)、脉搏(P),翻身不适感、满意度,护理人员疲劳度。结果:研究组翻身第1 min、翻身第5 min、翻身后第1 min及翻身后第5 min的SBP、DBP及P均低于对照组同期(P<0.05);研究组患者的头晕、自觉被拖/拉/拽、自觉恐惧害怕比例低于对照组(P<0.05);研究组满意度评分高于对照组(P<0.05);研究组护理人员疲劳程度轻于对照组(P<0.05)。结论:改良简易翻身单在急诊危重症患者应用,可更好的维持血流动力学、脉搏稳定,减轻患者翻身不适感,提升满意度,降低护理人员疲劳感,且制作简单、成本低廉、可重复使用,值得推广应用。

Objective:To explore the application effect of self-made and simple sheet which had been improved for turning over patients with serious diseases in emergency.Methods:To select120patients with serious illness cured in our hospital from October2016to March2017,equally and randomly divide them into research group and control group.Control group were given traditional methods to turning over patients,while research group adopted self-made sheet which had been improved for turning over patients.Compare blood pressure(SBP,DBP)in turning over,pulse(P),discomfort in turning over,satisfaction,tiredness of nursing personnel.Results:SBP,DBP and P of the1min,and5min of research group in the process of turning over and the1min and5min after having been turning over of patients were lower than that of control group at the same period(P<0.05).Dizzy,pull/drag/haul conscientiously,conscientious fear rate of research group were lower than that of control group(P<0.05).Scores on satisfaction of research group were higher than that of control group(P<0.05).Tiredness of nursing personnel of research group was slighter than that of control group(P<0.05).Conclusion:The application of simple sheet which had been improved for turning over patients with serious illness can better maintain haemodynamics,pulse stabilization,minimize the discomfort when patients being turn over,as well as increase satisfaction and decrease tiredness of nursing personnel,which was easy to make,with low cost,and can use repeatedly,thus,it was worthy of popularization and application.