休克指数指导下的护理在外伤性肝脾破裂出血患者中的应用效果  

Application effects of shock index-guided nursing in patients with traumatic hepatosplenic rupture and hemorrhage

作　　者：魏元恒 刘晗 WEI Yuanheng;LIU Han(Emergency Department of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院急诊科,河南南阳473000

出　　处：《中国民康医学》2024年第9期159-162,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察休克指数指导下的护理在外伤性肝脾破裂出血患者中的应用效果。方法:选取2020年9月至2022年9月该院收治的78例外伤性肝脾破裂出血患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各39例。对照组实施常规护理,观察组在对照组基础上实施休克指数指导下的护理。比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及并发症发生率和护理满意度评分。结果:护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组躯体功能、社会功能、心理功能、物质生活状态等GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.13%(2/39),低于对照组的20.51%(8/39),差异有统计学意义(P<0.05);观察组护理态度、需求满足、操作技能、健康指导等护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:休克指数指导下的护理应用于外伤性肝脾破裂出血患者可降低负性情绪评分和并发症发生率,提高生命质量和护理满意度评分,效果优于常规护理。Objective:To observe application effects of shock index-guided nursing in patients with traumatic hepatosplenic rupture and hemorrhage.Methods:A prospective study was conducted on 78 patients with traumatic hepatosplenic rupture and hemorrhage admitted to the hospital from September 2020 to September 2022.According to the random number table method,they were divided into observation group and control group,39 cases in each group.The control group received routine nursing,while the observation group received the shock index-guided nursing on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[general quality of life inveroty-74(GQOLI-74)]before and after the nursing,the incidence of complications,and the nursing satisfaction scores were compared between the two groups.Results:After the nursing,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of GQOLI-74 dimensions such as physical function,social function,psychological function and material life status in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.13%(2/39),which was lower than 20.51%(8/39)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction scores of nursing attitude,demand satisfaction,operation skills and health guidance in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The shock index-guided nursing in the patients with traumatic hepatosplenic rupture and hemorrhage can reduce the negative emotion scores and the incidence of complications and improve the quality of life scores and the nursing satisfaction scores.Moreover,it is superior to th

关 键 词：外伤 肝脾破裂出血 休克指数 护理 负性情绪 生命质量 满意度 

分 类 号：R472[医药卫生—护理学]