团队协作式一体化急救护理联合流程再造在有机磷农药中毒治疗中的应用效果  

Application effect of team based integrated emergency nursing combined with process reengineering in the treatment of organophosphorus pesticide poisoning

作　　者：柯秀敏 翁荔华 KE Xiumin;WENG Lihua(Emergency Department,Yong'an Hospital of Traditional Chinese Medicine,Yong'an City,Fujian Province,366099,China)

机构地区：[1]福建省永安市中医医院急诊科,福建永安366099

出　　处：《蛇志》2025年第1期53-57,共5页Journal of Snake

摘　　要：目的探讨团队协作式一体化急救护理联合流程再造在有机磷农药中毒患者中的应用效果。方法选择2023年1月至2024年6月我院收治的64例有机磷农药中毒患者为研究对象,其中以2023年1~12月实施常规急救护理的32例患者为对照组,以2024年1~6月实施团队协作式一体化急救护理联合流程再造护理的32例患者为观察组。比较两组患者的急救效率(胆碱酯酶恢复时间、留观时间、急救时间、昏迷时间)、中毒症状改善时间(中枢神经系统中毒症状消失时间、毒蕈碱样中毒症状消失时间、烟碱样中毒症状消失时间)、生活质量、并发症发生情况及健康状态评分。结果观察组的胆碱酯酶恢复时间、留观时间、急救时间、昏迷时间均较对照组短,差异均有统计学意义(均P<0.05)。观察组的中枢神经系统中毒症状消失时间、毒蕈碱样中毒症状消失时间及烟碱样中毒症状消失时间均短于对照组,差异均有统计学意义(均P<0.05)。护理后,两组患者的生活质量评分均有提高,且观察组明显高于对照组,差异均有统计学意义(均P<0.05)。观察组的并发症发生率为6.25%,低于对照组的25.00%,差异有统计学意义(P<0.05)。护理后,两组的健康状态评分均有降低,且观察组明显低于对照组,差异均有统计学意义(均P<0.05)。结论团队协作式一体化急救护理联合流程再造可提高有机磷农药中毒患者的急救效率,缓解中毒症状,降低并发症发生率,提高患者生活质量及康复效果。Objective To evaluate the efficacy of team-based integrated emergency nursing combined with process reengineering in managing organophosphorus pesticide poisoning(OPP).Methods A total of 64 OPP patients admitted between January 2023 and June 2024 were enrolled and divided into a control group(n=32,receiving conventional emergency care from January to December 2023)and an observation group(n=32,receiving the combined intervention from January to June 2024).Outcomes included emergency efficiency(cholinesterase recovery time,emergency response time,observation duration,and coma duration),symptom resolution time(central nervous system toxicity,muscarinic effects,nicotinic effects),quality of life,complication rates,and health status scores.Results The observation group demonstrated significantly shorter cholinesterase recovery time,emergency response time,observation duration,and coma duration compared to the control group(all P<0.05).Symptom resolution times for central nervous toxicity,muscarinic effects,and nicotinic effects were also reduced in the observation group(P<0.05).Post-intervention,the observation group exhibited higher quality of life scores(P<0.05),lower complication rates(6.25%vs 25.00%,P<0.05),and significantly reduced health status scores(P<0.05).Conclusion The combined protocol of team-based integrated emergency nursing and process reengineering significantly enhances clinical outcomes in OPP patients by improving treatment efficiency,accelerating symptom resolution,reducing complications,and optimizing rehabilitation.

关 键 词：团队协作式一体化急救护理 流程再造 有机磷农药中毒 

分 类 号：R595.4[医药卫生—内科学] R473[医药卫生—临床医学]