分析优质急诊护理干预对严重创伤失血性休克患者的康复和睡眠质量的影响

To Analyze the Effect of High-quality Emergency Nursing Intervention on Rehabilitation and Sleep Quality of Patients with Severe Traumatic Hemorrhagic Shock

目的:分析优质急诊护理干预对严重创伤失血性休克患者的康复和睡眠质量的影响。方法:选取2022年3月至2023年3月福建省三明市尤溪县总医院急诊科收治的严重创伤失血性休克患者60例作为研究对象,按照随机数字表法分为观察组和对照组,每组30例。对照组给予常规急诊护理干预,观察组给予优质急诊护理干预。比较2组患者干预前后急诊抢救时间、临床指标恢复情况、家属护理满意度、失血性休克患者体温变化及并发症发生情况,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化。结果:护理干预后,观察组PSQI评分显著低于对照组,观察组患者严重创伤失血性休克检查时间、术前准备时间、急救时间低于对照组,观察组体温恢复时间、休克缓解时间、住院时间低于对照组,家属总满意度高于对照组,入院10 min后、入院30 min后的体温高于对照组,PSQI量表评分低于对照组,夜间睡眠时间高于对照组,水电解质紊乱、呼吸窘迫、器官功能衰竭总发生率低于对照组,差异均有统计学意义(均P<0.05)。结论:严重创伤失血性休克患者经过优质急诊护理能够有效改善患者的睡眠质量,减少患者的急救时间,提高患者体温,改善不良症状,提高患者家属满意度,值得临床推广应用。

Objective:To analyze the effects of high-quality emergency nursing intervention on rehabilitation and sleep quality of patients with severe traumatic hemorrhagic shock.Methods:A total of 60 patients with severe traumatic hemorrhagic shock admitted to the emergency department of Youxi County General Hospital,Sanming City,Fujian Province from March 2022 to March 2023 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 30 cases in each group.The control group was given control group intervention,and the observation group was given high-quality emergency nursing intervention.The emergency rescue time,recovery of clinical indicators,nursing satisfaction of family members,temperature changes and complications of patients with hemorrhagic shock were compared between the two groups before and after intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality between the two groups before and after intervention.Results:After nursing intervention,PSQI score in the observation group was significantly lower than the control group,the examination time,preoperative preparation time and first aid time of patients with severe traumatic hemorrhagic shock in the observation group were lower than those of the control group,the temperature recovery time,shock remission time and hospital stay in the observation group were lower than those in the control group,and the total satisfaction of family members was higher than the control group.The body temperature in 10 min after admission and 30 min after admission was higher than that of the control group,the score of PSQI scale was lower than the control group,the night sleep time was higher than the control group,and the total incidence of water and electrolyte disorder,respiratory distress and organ failure was lower than that of the control group,the difference between the two groups was statistically significant(P s<0.05).Conclusion:High-quality emergency nursing for patients with severe traumatic hemorrhagic shock can effectively improve the sleep quality of patients,reduce the first aid time of patients,increase the temperature of patients,improve adverse symptoms,and increase the satisfaction of patients′families,which is worthy of clinical application.