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作 者:叶雯[1] 林丽云[1] 林涵真[1] 叶小兰[1] YE Wen;LIN Liyun;LIN Hanzhen;YE Xiaolan(Nursing Department,No.907 Hospital,Joint Logistics Support Force of the Chinese People's Liberation Army,Nanping,Fujian Province,353000 China)
机构地区:[1]中国人民解放军联勤保障部队第九〇七医院护理部,福建南平353000
出 处:《中外医疗》2022年第8期134-137,142,共5页China & Foreign Medical Treatment
摘 要:目的研究优化急救护理流程干预对急性酒精中毒患者救治效果的影响。方法2019年1月—2021年12月从该院方便选取急性酒精中毒患者88例,按照护理模式差异分组,各44例。对照组患者收治于2019年1—12月,该阶段还未优化急救护理流程;观察组患者收治于2020年1月—2021年12月,该阶段已优化急救护理流程。对比不同急救护理流程对患者诊治时间、不良事件发生情况、救治效果的影响。结果观察组等待时间、洗胃时间、留观时间分别为(4.20±1.69)、(24.36±6.29)、(75.27±20.69)min,均短于对照组,差异有统计学意义(t=11.279、7.534、4.163,P<0.05)。观察组出现跌倒、窒息、坠床等不良事件发生率为4.55%,对照组为20.45%,差异有统计学意义(χ^(2)=5.091,P<0.05)。观察组洗胃率低于对照组,差异有统计学意义(χ^(2)=5.572,P<0.05)。观察组住院治疗率低于对照组率,差异有统计学意义(χ^(2)=5.058,P<0.05)。结论优化急性酒精中毒患者的急救护理流程,有助于缩短患者诊治等待时间,并提升患者在救治期间的安全性,降低洗胃率,减少患者住院导致的医疗资源占用。Objective To study the effect of optimizing emergency nursing process intervention on the treatment effect of patients with acute alcoholism.Methods From January 2019 to December 2021,88 patients with acute alcohol poisoning were conveniently selected from the hospital,and they were divided into groups according to the differences care patterns,with 44 cases in each group.The patients in the control group were admitted from January to December 2019,and the emergency nursing process has not been optimized at this stage;the patients in the observation group were admitted from January 2020 to December 2021,and the emergency nursing process has been optimized at this stage.The effects of different emergency nursing procedures on the time of diagnosis and treatment,occurrence of adverse events,and treatment effects were compared.Results The waiting time,gastric lavage time,and observation time of the observation group were(4.20±1.69)min,(24.36±6.29)min,and(75.27±20.69)min,respectively,which were all shorter than those of the control group,and the difference was statistically significant(t=11.279,7.534,4.163,P<0.05).The incidence of adverse events such as falling,suffocation and falling from bed was 4.55%in the observation group and 20.45%in the control group,the difference was statistically significant(χ^(2)=5.091,P<0.05).The gastric lavage rate in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.572,P<0.05).The hospitalization rate in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.058,P<0.05).Conclusion Optimizing the emergency nursing process for patients with acute alcoholism can help shorten the waiting time for diagnosis and treatment,improve the safety of patients during treatment,reduce the rate of gastric lavage,and reduce the occupation of medical resources caused by hospitalization.
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