CAJ | 학술논문

目的：探讨护理干预在有机磷农药中毒临床急诊中的应用效果。方法选择2012年5月~2013年5月杭州师范大学附属医院急诊科接诊的有机磷农药中毒患者56例，在常规护理基础上对患者采取护理干预，作为观察组；并2011年4月~2012年4月入院的有机磷农药中毒且仅采用常规急救护理方法进行护理的患者56例作为对照。统计两组洗胃液量、洗胃时间和术中胃内容物溢出例数及并发症情况，护理结束后对两组患者及其家属的满意度进行调查。结果观察组洗胃液量、洗胃时间和术中胃内容物溢出例数及并发症发生率均明显小于对照组。观察组满意率96.4%，对照组满意率75.0%，两组满意率差异具有统计学意义（P＜0.05）。结论重症有机磷农药中毒患者急诊同时加强饮食、心理护理，保障了患者的生命安全，同时得到高度的认可。
목적：탐토호리간예재유궤린농약중독림상급진중적응용효과。방법선택2012년5월~2013년5월항주사범대학부속의원급진과접진적유궤린농약중독환자56례，재상규호리기출상대환자채취호리간예，작위관찰조；병2011년4월~2012년4월입원적유궤린농약중독차부채용상규급구호리방법진행호리적환자56례작위대조。통계량조세위액량、세위시간화술중위내용물일출례수급병발증정황，호리결속후대량조환자급기가속적만의도진행조사。결과관찰조세위액량、세위시간화술중위내용물일출례수급병발증발생솔균명현소우대조조。관찰조만의솔96.4%，대조조만의솔75.0%，량조만의솔차이구유통계학의의（P＜0.05）。결론중증유궤린농약중독환자급진동시가강음식、심리호리，보장료환자적생명안전，동시득도고도적인가。
Objective To explore the effects of nursing intervention in the clinical emergency of organic phosphorus pesticide poisoning. Methods Fifty-six patients with organic phosphorus pesticide poisoning, who were admitted to the Department of Emergency in the Affiliated Hospital of Zhejiang Normal University from May 2012 to May 2013, were selected. They were assigned into observation group and received nursing intervention on the basis of regular nursing care. 56 patients with organic phosphorus pesticide poisoning, who were admitted to the same hospital from April 2011 to April 2012 and received only regular emergency nursing care, were selected as control group. Volume of gastric lavage, duration of gastric lavage, number of cases with overflow of gastric contents during a surgery, and complications were collected in the two groups. The satisfaction rates of patients and their families from the two groups were also sur-veyed after the nursing care. Results The volume of gastric lavage, duration of gastric lavage, cases with overflow of gastric contents during a surgery and the incidence of complications in observation group were all less than those in control group. The satisfaction rate in observation group was 96.4%, in which 28 patients were very satisfied, 26 fairly satisfied, 2 unsatisfied. The satisfaction rate in control group was 75.0%, in which 20 patients were very satisfied, 22 fairly satisfied, 14 unsatisfied. The difference of satisfaction rates between the two groups was statistically significant (P<0.05). Conclusion Strengthening of diet and mental nursing for emergency patients with severe organic phosphorus pesticide poisoning helps safeguard patients ’ life at the meantime, wins high recognition.