循证策略聚束化管理在急性重度有机磷中毒患者中的应用观察  

Application of evidence-based strategy and bunching management in the patients with acute severe organophosphate poisoning

作　　者：陈春花[1] 郑玉琴[1] 陈小芬[1] 唐海艳[1] 方芳[1] 

机构地区：[1]广东省湛江中心人民医院急救中心,广东湛江524037

出　　处：《广东医科大学学报》2017年第4期448-450,共3页Journal of Guangdong Medical University

摘　　要：目的观察循证策略聚束化管理应用于急性重度有机磷中毒患者的效果。方法将2013年1月至2015年1月收治的急性重度有机磷中毒患者68例作为对照组,2015年2月至2017年1月收治的急性重度有机磷中毒患者70例作为实验组。对照组采用常规治疗与护理,实验组在常规治疗的基础上,给予循证策略聚束化管理。比较两组的疗效、并发症发生率及满意度。结果观察组的昏迷时间、住院时间及脱呼吸机时间均短于对照组(P<0.01);出现呼吸机肺炎、中间综合征、和反跳现象的发生率明显低于对照组(P<0.05);患者、患者家属、护理人员及医师对护理工作的满意度均高于对照组(P<0.05)。结论对急性重度有机磷中毒患者采用循证策略聚束化管理能提高疗效,降低并发症的发生率,提高满意度,值得推广。Objective To observe the effect of evidence-based strategy and bunching management on the patients with acute severe organophosphate poisoning （severe AOPP）. Methods Sixty-eight patients with severe AOPP admitted from January 2013 to January 2015 were selected as Control Group while 70 patients with severe AOPP admitted from February 2015 to January 2017 were enrolled in Experimental Group. Control Group was treated with routine therapy and nursing while Experimental Group was given evidence-based strategy and bunching management based on the routine treatment. The efficacy, the incidence of complications and satisfaction of the two groups were compared. Results The coma duration, hospital stay and the time for ventilator weaning in Experimental Group were shorter than those in Control Group （P〈0.05）. The incidence of ventilator pneumonia, intermediate syndrome and rebound of Experimental Group was significantly lower than that of Control Group （P〈0.05）. The satisfaction of the patients, the patent families, the nurses and the physicians in Experimental Group were higher than those of Control Group （P〈0.05）. Conclusions The evidence-based strategy and bunching management for the patients with severe AOPP can effectively improve the curative effect, reduce the incidence of complications and improve the satisfaction, which is worth promoting.

关 键 词：循证策略 聚束化管理 有机磷农药中毒 

分 类 号：R473[医药卫生—护理学]