循证护理干预在有机磷农药中毒患者急救中的应用

Application of evidence-based nursing interventions in the emergency care of patients with organophosphorus pesticide poisoning

目的探讨循证护理干预在有机磷农药中毒患者急救护理中的应用效果。方法选取医院2018年6月—2020年6月收治的有机磷农药中毒患者84例作为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组42例。对照组采用常规护理,观察组采用循证护理干预。比较两组患者洗胃时间、首次吸出液体时间、临床症状消失时间、洗胃液量、并发症发生率,比较两组患者干预前后Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)以及SF-36生活质量量表评分。结果实施循证性护理干预后,观察组患者的洗胃时间、首次吸出液体时间、各临床症状消失时间均短于对照组(P<0.05);洗胃液量少于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。干预前,两组患者SAS、SDS和SF-36生活质量量表各维度评分的比较,差异均无统计学意义(P>0.05);干预后,观察组患者SF-36生活质量量表各维度评分均高于对照组(P<0.05),SAS、SDS评分均低于对照组(P<0.05)。结论循证护理干预方案应用于有机磷农药中毒患者,可缩短有机磷农药中毒患者洗胃时间、首次吸出液体时间、各临床症状消失时间,减少洗胃液量,降低并发症发生率,改善负性情绪,提高患者生活质量。

Objective To explore the effect of evidence-based nursing interventions in the emergency care of organophosphorus pesticide poisoning patients.Methods 84 cases of organophosphorus pesticide poisoning patients admitted to the hospital from June 2018 to June 2020 were selected as study subjects,they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 42 cases in each group.The control group used conventional care and the observation group used evidence-based nursing intervention.The time of lavage,time to first aspiration,time of disappearance of clinical symptoms,volume of lavage fluid and the incidence of complications were compared between the two groups,and the scores on the Zung Self-Rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)and the SF-36 Quality of Life Scale were compared before and after the intervention.Results After the implementation of the evidence-based nursing intervention,the time to lavage,the time to first aspiration of fluid and the time to disappearance of each clinical symptom were shorter in the observation group than in the control group(P<0.05);the volume of lavage fluid was less than in the control group(P<0.05)and the incidence of complications was lower than in the control group(P<0.05).Before the intervention,there was no statistically significant difference between the SAS,SDS and SF-36 Quality of Life scale scores of the two groups(P>0.05);After the intervention,the SF-36 Quality of Life scale scores of the patients in the observation group were higher than the control group(P<0.05),and the SAS and SDS scores were lower than the control group(P<0.05).Conclusion The evidence-based nursing intervention program applied to organophosphorus pesticide poisoning patients can shorten the time of gastric lavage,the time of first aspiration of fluid and the time of disappearance of each clinical symptom,reduce the amount of gastric lavage fluid,lower the incidence of complications,improve negative emotions and improve the quality of life of patients with organophosphorus pesticide poisoning.