基于损伤控制理念腹部手术联合多学科协助护理对急诊严重腹部损伤患者并发症发生率及睡眠质量的效果  

Analysis of the Incidence of Complications and Sleep Quality in Emergency Patients with Severe Abdominal Injury Treated with Abdominal Surgery Combined with Multidisciplinary Assisted Nursing Based on The Concept of Injury Control

作　　者：谌瑞福 黄玉妹 CHEN Ruifu;HUANG Yumei(Emergency Medical Center of the First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,China)

机构地区：[1]福建医科大学附属第一医院急诊医学中心,福州350004

出　　处：《世界睡眠医学杂志》2024年第1期171-173,177,共4页World Journal of Sleep Medicine

摘　　要：目的:探析基于损伤控制理念腹部手术联合多学科协助护理对急诊严重腹部损伤患者并发症发生率及睡眠质量的效果。方法:选取2022年6月至2023年6月福建医科大学附属第一医院急诊医学中心急诊收治的严重腹部损伤患者80例作为研究对象,采用随机数字表法分为对照组和观察组,每组40例。对照组应用基于损伤控制理念腹部手术联合常规护理,观察组应用基于损伤控制理念腹部手术联合多学科协作护理,比较2组患者手术指标、并发症发生率及睡眠质量。结果:观察组手术指标等多项指标测定数值明显低于对照组(P<0.05);护理后,观察组术后并发症发生率低于对照组(P<0.05);观察组睡眠质量各维度评分高于对照组(P<0.05)。结论:急诊严重腹部损伤患者应用基于损伤控制理念腹部手术联合多学科协助护理在预防术后并发症发生的同时提高患者睡眠质量,有利于加速患者康复进程,缩短住院治疗时间。Objective:To explore the effectiveness of abdominal surgery combined with multidisciplinary assisted nursing based on the concept of injury control in patients with severe abdominal injuries admitted to the emergency department.Methods:A total of 80 patients with severe abdominal injuries admitted to the emergency department of our hospital from June 2022 to June 2023 were selected and randomly divided into a control group(n=40)and an observation group(n=40)using a random number table method.The control group received abdominal surgery based on injury control concept and routine care,while the observation group received abdominal surgery based on injury control concept and multidisciplinary collaborative care.The surgical indicators,incidence of complications,and sleep quality of the two groups of patients were compared.Results:Comparing multiple indicators such as surgical indicators between the two groups of patients,the measured values in the observation group were significantly lower than those in the control group(P<0.05).After nursing,the incidence of postoperative complications in the observation group was lower,and there was a significant difference compared to the control group(P<0.05).Compared to the control group,the observation group had higher sleep quality(P<0.05).Conclusion:The application of abdominal surgery combined with multidisciplinary assisted nursing based on the concept of injury control in emergency patients with severe abdominal injury can prevent postoperative complications while improving the patient′s sleep quality,which is beneficial for accelerating the patient′s recovery process and shortening hospitalization time.

关 键 词：基于损伤控制理念 多学科协助护理 并发症 睡眠质量 

分 类 号：R338.63[医药卫生—人体生理学] R656[医药卫生—基础医学] R473