细致化护理对急性有机磷农药中毒患者康复及满意度影响.docVIP

细致化护理对急性有机磷农药中毒患者康复及满意度影响 　　[摘要] 目的 探讨细致化护理对急性有机磷农药中毒患者康复以及满意度的影响。 方法 选取2011年4月～2014年5月在延安大学附属医院进行治疗的急性有机磷农药中毒患者83例，依照随机数字表法分为对照组（n = 41）和观察组（n = 42）。对照组实施常规护理，观察组实施细致化护理。对两组患者的康复情况和对护理的满意度进行分析。 结果 观察组患者生命体征平稳得分显著高于对照组（P 0.05）。观察组重要器官功能损害得分显著高于对照组（P 0.05）。观察组患者治愈率明显高于对照组（P 0.05），死亡率低于对照组（P 0.05）。观察组患者并发症发生率明显低于对照组（P 0.05）。观察组患者对护理的总体满意度明显高于对照组（P 0.05）。 结论 细致化护理模式在急性有机磷农药中毒患者抢救过程中可以明显提高抢救成功率和临床疗效，同时能够提高患者对护理的满意度。 　　[关键词] 细致化护理；急性有机磷农药中毒；康复；满意度 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2015）10（a）-0156-04 　　Effect of detailed nursing on the rehabilitation and satisfaction of patients with acute organophosphorus pesticide poisoning 　　FENG Chong1 SHA Haiwang1 HAN Huihui2 　　1.Department of Critical Care Medicine， Affiliated Hospital of Yanan University， Shaanxi Province， Yanan 716000， China； 2.Delivery Room， Affiliated Hospital of Yanan University， Shaanxi Province， Yanan 716000， China 　　[Abstract] Objective To investigate the effect of detailed nursing on recovery and satisfaction of patients with acute organophosphorus pesticide poisoning. Methods 83 patients with acute organophosphorus pesticide poisoning treated in Affiliated Hospital of Yanan University from April 2011 to May 2014 were randomly divided into the control group （n = 41） and observation group （n = 42）. The control group was given routine care， and the observation group was given detailed nursing. And the rehabilitation and satisfaction with care were analyzed and compared between the two groups. Results The score of stable vital signs in observation group was significantly higher than that in the control group （P 0.05）. The score of functional damage in the observation group was significantly higher than that in the control group （P 　　[Key words] Meticulous care； Acute organophosphorus pesticide poisoning； Rehabilitation； Satisfaction 　　急性有机磷农药中毒可由患者误服，或喷洒药物时防护措施不当而导致的急性中毒，其主要临床表现有气管痉挛、呼吸循环系统功能的衰竭及肺水肿等，具有发病迅速、病情进展速度快的特点，对患者生命造成严重威胁[1-3]。鉴于此种情况，对于有机磷农药中毒患者的抢救必须尽可能的争取时间，加强护理[4]。此外，对于一些因有自