严重创伤性休克患者的急诊综合护理效果分析

Analysis on effect of emergency comprehensive nursing on patients with severe traumatic shock

目的分析在严重创伤性休克患者中应用综合护理模式的效果.方法中国医科大学附属盛京医院2018年10月至2019年10月收治300例严重创伤性休克患者,根据护理方式的不同分为综合护理组和常规护理组,每组150例.常规护理组给予常规护理,综合护理组在常规护理组基础上给予综合护理,包括加强急救护理管理、上呼吸道护理、并发症护理、健康教育和心理护理.对比两组患者的抢救成功率、抢救时间、护理质量评分、并发症发生率和护理满意度的差异.结果综合护理组抢救成功率明显高于常规护理组〔95.33%(143/150)比75.33%(113/150)〕,综合护理组抢救时间明显短于常规护理组(min:44.03±11.85比70.41±13.62,P<0.05).综合护理组护理质量总评分(分:94.81±5.17比76.23±4.72)、护理总满意度〔97.33%(146/150)比81.33%(122/150)〕均明显高于常规护理组,并发症总发生率明显低于常规护理组〔2.67%(4/150)比16.67%(25/150)〕,差异均有统计学意义(均P<0.05).结论对严重创伤性休克患者进行综合护理,有助于提高护理工作质量和抢救成功率,缩短患者抢救时间,降低各种并发症发生率,改善护患关系.

Objective To analyze the effect of comprehensive nursing mode applied in patients with severe traumatic shock.Methods The 300 patients w ith severe traumatic shock admitted to Shengjing Hospital Afiliated to China Medical University from October 2018 to October 2019 were selected as the research objects.and they were divided into a comprehensive nursing group and a routine nursing group according to difference in nursing methods,with 150 cases in each group.The patients in routine nursing group were treated with routine nursing.and patients in comprehensive nursing group were given comprehensive nursing,including strengthening emergency nursing managerment,upper respiratory tract nursing,complication nursing,health education and psychological nursing.The differences in rescue success rate,rescue time,nursing quality score,incidence of complication and satisfaction degree toward nursing between the Iwo groups were compared.Results The success rate of rescue in comprehensive nursing group was significantly higher than that of routine nursing group[95.33%(143/150)vs.75.33%(113/150)].,The rescue time of comprehensive nursing group was significantly shorter than that of routine nursing group(minutes:44.03±11.85 vs.70.41±13.62,P<0.05).The total score of nursing quality(points:94.81±5.17 vs.76.23±4.72)and total satisfaction rate[97.33%(146/150)vs.81.33%(122/150)]in comprehensive nursing group were significantly higher than those of routine nursing group,and the total incidence of complications was significantly lower than that of routine nursing group[2.67%(4/150)vs.16.67%(25/150)],all the above comparisons having significant differences(all P<0.05).Conclusion The application of comprehensive nursing for patients with severe traumatic shock can significantly improve the quality of nursing work and success rate of rescue,shorten the rescue time,reduce the incidence of various complications and improve the patients'satisfaction with the nursing work.