摘要
目的探讨全程护理在连续性静脉血液滤过治疗急性重症中毒患者中的应用效果。方法选取该院2017年1月-2018年1月收治的急性重症中毒患者80例,将其随机分为两组,各40例。对照组常规护理,观察组实施全程护理。比较两组护理前后SDS、SAS评分、疗效指标、生存质量以及家属满意度。结果在SDS、SAS评分上,两组护理前对比差异无统计学意义(P>0.05);而护理后观察组(34.5±2.1)分、(33.4±2.2)分较对照组(45.6±3.2)分、(44.5±2.8)分均明显较低,差异有统计学意义(P<0.05)。在疗效指标上,两组治愈率、昏迷持续时间、住院时间等[观察组97.5%、(1.5±0.4)d、(9.3±2.4)d vs对照组82.5%、(3.3±1.4)d、(14.5±2.3)d]对比,差异有统计学意义(χ^2=6.547,t=2.034、4.571,P<0.001)。在生存质量上,两组情感职能、生理、躯体、社会等功能评分对比,差异有统计学意义(t=4.261、3.574、3.254、4.068,P<0.001)。在家属满意度上,对照组为82.5%,观察组为95.0%,差异有统计学意义(χ^2=6.667,P<0.001)。结论全程护理在连续性静脉血液滤过治疗急性重症中毒患者中的应用效果显著,改善患者心理状态,提升其治愈率,缩短其昏迷持续以及住院时间,还能提升其生存质量和家属满意度,因此值得临床应用推广。
Objective To investigate the effect of whole-course nursing on continuous venous hemofiltration in patients with acute severe poisoning.Methods Eighty patients with acute severe poisoning admitted to the hospital from January2017 to January 2018 were randomly divided into two groups,40 cases each.The control group received routine care and the observation group implemented full-course care.SDS,SAS scores,efficacy indicators,quality of life and family satisfaction were compared before and after treatment.Results There was no statistically significant difference in the pre-treatment comparison between the two groups on the SDS and SAS scores(P>0.05).The observation group(34.5±2.1)points and(33.4±2.2)points were compared with the control group(45.6±3.2)points,(44.5±2.8)points,significantly lower,the difference was statistically significant(P<0.05).In terms of efficacy indicators,the cure rate,duration of coma,hospital stay,etc[in the observation group:97.5%,(1.5±0.4)d,(9.3±2.4)d vs in the control group:82.5%,(3.3±1.4)d,(14.5±2.3)d]There was a statistical difference in comparison(χ^2=6.547,t=2.034,4.571,P<0.001).In terms of quality of life,there was a statistically significant difference in the scores of emotional function,physiology,physical and social functions between the two groups(t=4.261,3.574,3.254,4.068,P<0.001).Family satisfaction was 82.5%in the control group and 95.0%in the observation group,and the difference was statistically significant(χ^2=6.667,P<0.001).Conclusion The whole course of nursing is effective in the treatment of acute severe poisoning patients with continuous venous hemofiltration.It improves the psychological state of patients,improves their cure rate,shortens their coma persistence and hospitalization time,and improves their quality of life and family satisfaction.Therefore,it is worthy of clinical application.
作者
张婷
ZHANG Ting(Department of Critical Care Medicine,the First Affiliated Hospital of Chongqing Medical University,Chongqing,400016 China)
出处
《系统医学》
2019年第20期169-171,共3页
Systems Medicine
关键词
急性重症中毒
连续性静脉血液滤过
全程护理
应用效果
Acute severe poisoning
Continuous venous hemofiltration
Whole-course care
Application effect
