神经外科行心电监护危重患者使用创新型五孔病员服的效果观察

Effect observation of using innovative five-hole patient uniform in critically ill patients who received electrocardiography monitoring in neurosurgery

目的探讨创新型五孔病员服在需要使用心电监护的危重患者中的应用效果。方法选取连云港市东方医院神经外科2018年4月至2019年6月收治的需要使用心电监护的住院患者182例为研究对象,采用患者性别、年龄、意识类型匹配的方法将患者分为对照组和观察组,每组91例。对照组穿传统病员服,观察组使用创新型五孔病员服。比较两组患者的肢体活动、体位、电极脱落对心电监护波形的干扰率,患者皮肤改变情况,清醒患者满意率。结果与对照组比较,观察组患者肢体活动干扰率明显减少(P<0.05),体位干扰率与电极脱落干扰率比较差异均无统计学意义(P>0.05);与对照组相比,观察组患者的不良反应(如皮肤发红、瘙痒、压痕等)明显减少(P<0.05);观察组中的清醒患者的满意率明显提高(P<0.05)。结论创新型五孔病员服对神经外科使用心电监护患者的应用效果显著,可明显降低使用心电监护患者的肢体活动干扰率,并且降低因使用心电监护仪造成的皮肤发红、发痒、压痕等不良反应发生率,明显提高患者的舒适度与满意度,且外观整齐、美观、便于护士整理、利于护士观察心电监护导联线连接情况,可推广使用。

Objective To explore the application effect of innovative five-hole patient uniform in critically ill patients who need electrocardiography(ECG)monitoring.Methods A total of 182 in-patients who needed ECG monitoring and were admitted to the Department of Neurosurgery of Dongfang Hospital in Lianyungang from April 2018 to June 2019 were selected as the study objects.By using the method of matching the gender,age,and consciousness type of patients,the patients were divided into a control group and an observation group,with 91 cases in each group.The control group wore traditional patient clothes,and the observation group wore innovative five-hole patient clothes to comparing the two groups of patients'limb activity,body position,interference rate of electrode falling off to ECG monitoring waveform,the patient's skin changes,and the satisfaction rate of awake patients.Results Compared with the control group,the interference rate of limb activity of the observation group was significantly reduced(P<0.05),and there was no significant difference between the interference rate of body position and the interference rate of electrode shedding(P>0.05).Compared with the control group,adverse reactions(such as skin redness,itching,indentation,etc.)of the observation group were significantly reduced(P<0.05),and the satisfaction rate of the awake patients in the observation group was significantly improved(P<0.05).Conclusion The innovative five-hole patient uniform had a significant effect on the patients using ECG monitoring in neurosurgery,which can significantly reduce the interference rate of the limbs of patients using ECG monitoring,and reduce the redness and itching of the skin caused by using the ECG monitor.The incidence of adverse reactions such as,indentation,etc.,significantly improved the comfort and satisfaction of patients,and the appearance was neat and beautiful,which was convenient for nurses to organize and facilitates nurses to observe the connection of ECG monitoring leads,which can be promoted.