“四位一体”急救护理流程在百草枯中毒患者中的应用  

Application of“Four in One”Emergency Nursing Process in Patients with Paraquat Poisoning

作　　者：张燕 孙健 ZHANG Yan;SUN Jian(Zaozhuang Hospital of Zaozhuang Mining Group,Zaozhuang 277100,China;不详)

机构地区：[1]枣庄矿业集团枣庄医院,山东枣庄277100

出　　处：《中外医学研究》2021年第28期102-105,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析百草枯中毒患者急救护理需求,评价“四位一体”急救护理流程的应用价值。方法:选择本院急诊科2019年4月-2020年5月收治的百草枯中毒患者80例,采取随机数字表法分组(对照组、研究组)。对照组(n=40)及研究组(n=40)中毒患者分别采取常规急救护理流程、“四位一体”急救护理流程,比较两组首次洗胃时间、首次血液净化时间、漂白土注入时间、首次使用糖皮质激素时间及生存情况、生存质量[生活质量量表(generic quality of life inventory-74,GQOL-74)]。结果:研究组首次洗胃时间、首次血液净化时间、漂白土注入时间、首次使用糖皮质激素时间等救治时间均明显早于对照组(P<0.05);研究组存活率80.00%,高于对照组的50.00%(P<0.05);研究组各项生存质量评分均明显高于对照组(P<0.05)。结论:与常规急救护理流程比较,“四位一体”急救护理流程用于百草枯中毒患者中急救效果理想,缩短了患者的急救时间,有助于提升患者的生存质量与存活率,患者预后情况良好。Objective:To analyze the emergency care needs of patients with paraquat poisoning and evaluate the application value of the“four in one”emergency care process.Method:A total of 80 patients with paraquat poisoning who were admitted to the emergency department of our hospital from April 2019 to May 2020 were selected and divided into the control group(n=40)and the study group(n=40)by random number table menthod.The patients in the control group were treated with routine emergency care procedures and patients in the study group were treated with“four-in-one”emergency care procedures respectively,The patients’first gastric lavage time,first blood purification time,bleaching earth injection,first glucocorticoid use time,survival situation[generic quality of life inventory-74(GQOL-74)]and quality of life between the two groups were compared.Result:Comparing the treat time such as the first gastric lavage time and first blood purification time,bleaching earth injection,first glucocorticoid use time between the two groups,the indexes in the study group were significantly earlier than those in the control group(P<0.05);the survival rate between the two groups was compared,the survival rate in the study group was 80.00%,higher than 50.00% in the control group(P<0.05).The quality of life scores in the study group were significantly higher than those of the control group(P<0.05).Conclusion:Compared with the conventional emergency care process,the“four in one”emergency care process is ideal for paraquat poisoning patients,shortens the patients’first aid time,improves the quality of life and survival rate,and has a good prognosis.

关 键 词：四位一体 急救护理流程 百草枯中毒 急救情况 生存质量 生存率 

分 类 号：R473.5[医药卫生—护理学]