糖尿病足并发急性肺栓塞患者陪检转运途中的安全护理与防范对策

Safety Nursing and Preventive Measures for Patients with Diabetic Foot Complicated with Acute Pulmonary Embolism during Accompanied Examination and Transportation

目的探讨陪检转运护理在糖尿病足并发急性肺栓塞患者中的护理效果及安全性。方法选择2017年11月—2018年12月治疗的糖尿病足并发急性肺栓塞患者78例作为对象,随机数字法分为对照组(n=39例)和观察组(n=39例)。对照组给予常规护理,观察组在对照组基础上联合陪检转运护理,护理完毕后对患者效果进行评估,比较两组安全性、满意度。结果观察组护理后转运过程中窒息、呛咳、咯痰、坠落及呼吸抑制发生率,均低于对照组,差异有统计学意义(P<0.05);观察组护理过程中健康教育、转运宣教、转运注意事项讲解、隐私部位遮盖及转运体位满意度,均高于对照组,差异有统计学意义(P<0.05)。结论陪检转运途中加强糖尿病足并发急性肺栓塞患者护理能提高临床安全性及护理满意度,值得推广应用。

Objective To explore the nursing effect and safety of accompanying examination transfer nursing in patients with diabetic foot complicated with acute pulmonary embolism. Methods 78 patients with diabetic foot complicated with acute pulmonary embolism treated from November 2017 to December 2018 were randomly divided into control group(n=39) and observation group(n=39). The control group was given routine nursing, while the observation group was given accompanying care on the basis of the control group. After nursing, the effect of patients was evaluated, and the safety and satisfaction of the two groups were compared. Results The incidences of asphyxia, cough, sputum expectoration,falling and respiratory depression in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);the satisfaction of health education, transport propaganda, transport notes, privacy cover and transport posture in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05). Conclusion Enhancing the nursing care of patients with diabetic foot complicated with acute pulmonary embolism during the transit of accompanying examination can improve the clinical safety and nursing satisfaction,which is worthy of popularization and application.