急诊洗胃患者急诊洗胃护理方法及效果分析.docVIP

急诊洗胃患者急诊洗胃护理方法及效果分析 　　[摘要] 目的 探讨和分析对急诊洗胃患者的护理方法和应用效果。 方法 整群选取该院自2014年3月―2015年2月期间收治的急诊洗胃患者共86例为研究对象，将其定为观察组，并和2013年3月―2014年2月的急诊洗胃患者86例定为对照组，对照组给予一般的常规护理，观察组通过对患者洗胃前进行心理护理，消除紧张情绪，在插管过程中，避免胃管对局部及咽喉部的刺激，洗胃时注意严密观察病情，洗胃后加强口腔护理、饮食护理，然后汇总和统计和对比两组患者的治疗效果。 结果 经过不同的护理，两组患者均为出现死亡病例。患者全部是在5到15分钟内进行洗胃，抢救后全部好转并出院，没有并发症出现。观察组和对照组患者的置管一次成功率分别为96.5%（83/86）、81.4%（70/86），该两组患者的置管一次成功率对比，差异有统计学意义（χ2=7.042， P0.05）。经过护理质量评分，观察组患者的护理满意度为98.8%（85/86），明显高于对照组患者（80.2%，69/86），两组患者护理满意度对比，差异有统计学意义（χ2=5.975， P0.05）。 结论 对于急诊患者，只要进行也有效的洗胃护理，就能够很有效地提高患者依从性，进而提升置管的成功率和抢救成功率，降低不良反应和医疗风险，更能提高患者护理满意度。 　　[关键词] 急诊护理；中毒治疗；洗胃护理 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2015）10（b）-0160-03 　　Analysis of the Method and Effect of Nursing for Emergency Patients with Gastric Lavage 　　BAO Yan-qiu 　　Department of Emergency， Huadian Peoples Hospital， Huadian， Jilin Province， 132400 China 　　[Abstract] Objective To explore and analyze the method and effect of nursing for emergency patients with gastric lavage. Methods 86 emergency patients with gastric lavage admitted in our hospital from March 2014 to February 2015 were selected as the subjects of the observation group， and other 86 emergency patients with gastric lavage admitted in our hospital from March 2013 to February 2014 were selected as the subjects of the control group. Patients in the control group were given the general conventional nursing， and those in the observation group were treated by psychological nursing for eliminating nervousness before gastric lavage， avoiding the stimulation of gastric tube on local and throat during intubation process， closely monitoring the conditions during the gastric lavage， strengthening the oral and diet nursing after gastric lavage. And the therapeutic effect of the two groups was counted and compared. Results No death occurred in both groups after nursing. All the patients were given gastric lavage within 5 to 15 minutes， and improved and discharged after rescue without complications. The success rate of on