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目的探讨细节护理在急诊休克患者护理中的应用。方法选择126例创伤性休克患者,按照住院顺序分为实验组与对照组各63例。对照组仅给予常规的急救护理干预措施,实验组则在对照组基础上给予细节护理干预措施,比较2组患者抢救成功率、有效救治时间、并发症情况、医疗差错、医疗纠纷情况、预后情况以及护理满意度。结果实验组抢救成功率高于对照组,有效抢救时间多于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。实验组医疗差错、医疗纠纷发生率均低于对照组,差异有统计学意义(P<0.05)。实验组恢复良好者显著多于对照组,而致残率及病死率显著低于对照组,差异均有统计学意义(P<0.05)。实验组护理满意率为96.83%,显著高于对照组的87.30%(P<0.05)。结论对急诊休克患者实施细节护理,不仅可降低并发症发生率、医疗纠纷发生率,减少医疗差错、致残及死亡患者,还能提高抢救成功率,增加有效抢救时间,改善护理满意度及预后。
Objective To explore the application of detailed nursing in the emergency care of patients with shock. Methods A total of 126 patients with traumatic shock were selected and divided into experimental group and control group according to the hospitalization sequence of 63 cases. Control group only given conventional emergency nursing interventions, the experimental group is based on the control group to give details of nursing interventions, the two groups of patients rescue success rate, effective treatment time, complications, medical errors, medical disputes, prognosis As well as nursing satisfaction. Results The success rate of rescue in the experimental group was higher than that of the control group, and the effective rescue time was more than that of the control group. The complication rate was lower than that of the control group (P <0.05). The incidences of medical errors and medical disputes in the experimental group were lower than those in the control group, with significant difference (P <0.05). The recovery of the experimental group was significantly more than the control group, while the morbidity and mortality were significantly lower than the control group, the difference was statistically significant (P <0.05). The nursing satisfaction rate of experimental group was 96.83%, which was significantly higher than that of control group (87.30%, P <0.05). Conclusion The implementation of detailed nursing for patients with emergency shock can not only reduce the incidence of complications, the incidence of medical disputes, reduce medical errors, disability and death patients, but also improve the success rate of rescue, increase the effective rescue time, improve the satisfaction and prognosis of nursing .