中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
17期
109-112
,共4页
陈静%汪正权%方雅%陆雯
陳靜%汪正權%方雅%陸雯
진정%왕정권%방아%륙문
中毒%急救%一体化护理管理
中毒%急救%一體化護理管理
중독%급구%일체화호리관리
Poisoning%First aid%Integrated nursing management
目的：探讨一体化急救模式下护理管理在有机磷农药中毒患者救治中所发挥的作用。方法将198例有机磷农药中毒患者按时间先后分为两组，2012年5月~2013年12月浙江省余姚市人民医院救治的96例有机磷农药中毒患者设为实验组，2010年9月~2012年4月浙江省余姚市人民医院救治的102例有机磷农药中毒患者设为对照组，实验组实施与一体化急救模式相适应的护理管理措施，包括调整急救中心的布局与设施、完善应急预案、规范抢救程序、注重抢救的时效性、优化人力资源、规范护理病历书写、定期组织学习法律知识等，对照组常规护理，未实施与一体化急救模式相适应的护理管理措施，通过回顾分析比较两组患者的救治效果和满意度。结果与对照组相比，实验院前反应时间明显缩短，差异有高度统计学意义[(3.42±1.14)min比(5.68±1.34)min，P<0.01)]，中毒症状消失时间、胆碱酯酶恢复到60%时间、住院时间均缩短，差异有统计学意义(P<0.05)，住院费用减少，差异有统计学意义[(14889±3366)元比(20448±4181)元，P<0.05]，救治成功率和救治满意度均提高，差异有统计学意义(96.9%比91.2%，97.9%比93.1%，P<0.05)。结论利用急救一体化模式的优势，不断完善急救护理管理，提供及时、有效、科学的现代急救护理，提高了有机磷农药中毒患者的救治水平，提升了医院的综合急救素质。
目的：探討一體化急救模式下護理管理在有機燐農藥中毒患者救治中所髮揮的作用。方法將198例有機燐農藥中毒患者按時間先後分為兩組，2012年5月~2013年12月浙江省餘姚市人民醫院救治的96例有機燐農藥中毒患者設為實驗組，2010年9月~2012年4月浙江省餘姚市人民醫院救治的102例有機燐農藥中毒患者設為對照組，實驗組實施與一體化急救模式相適應的護理管理措施，包括調整急救中心的佈跼與設施、完善應急預案、規範搶救程序、註重搶救的時效性、優化人力資源、規範護理病歷書寫、定期組織學習法律知識等，對照組常規護理，未實施與一體化急救模式相適應的護理管理措施，通過迴顧分析比較兩組患者的救治效果和滿意度。結果與對照組相比，實驗院前反應時間明顯縮短，差異有高度統計學意義[(3.42±1.14)min比(5.68±1.34)min，P<0.01)]，中毒癥狀消失時間、膽堿酯酶恢複到60%時間、住院時間均縮短，差異有統計學意義(P<0.05)，住院費用減少，差異有統計學意義[(14889±3366)元比(20448±4181)元，P<0.05]，救治成功率和救治滿意度均提高，差異有統計學意義(96.9%比91.2%，97.9%比93.1%，P<0.05)。結論利用急救一體化模式的優勢，不斷完善急救護理管理，提供及時、有效、科學的現代急救護理，提高瞭有機燐農藥中毒患者的救治水平，提升瞭醫院的綜閤急救素質。
목적：탐토일체화급구모식하호리관리재유궤린농약중독환자구치중소발휘적작용。방법장198례유궤린농약중독환자안시간선후분위량조，2012년5월~2013년12월절강성여요시인민의원구치적96례유궤린농약중독환자설위실험조，2010년9월~2012년4월절강성여요시인민의원구치적102례유궤린농약중독환자설위대조조，실험조실시여일체화급구모식상괄응적호리관리조시，포괄조정급구중심적포국여설시、완선응급예안、규범창구정서、주중창구적시효성、우화인력자원、규범호리병역서사、정기조직학습법률지식등，대조조상규호리，미실시여일체화급구모식상괄응적호리관리조시，통과회고분석비교량조환자적구치효과화만의도。결과여대조조상비，실험원전반응시간명현축단，차이유고도통계학의의[(3.42±1.14)min비(5.68±1.34)min，P<0.01)]，중독증상소실시간、담감지매회복도60%시간、주원시간균축단，차이유통계학의의(P<0.05)，주원비용감소，차이유통계학의의[(14889±3366)원비(20448±4181)원，P<0.05]，구치성공솔화구치만의도균제고，차이유통계학의의(96.9%비91.2%，97.9%비93.1%，P<0.05)。결론이용급구일체화모식적우세，불단완선급구호리관리，제공급시、유효、과학적현대급구호리，제고료유궤린농약중독환자적구치수평，제승료의원적종합급구소질。
Objective To explore the integration of emergency nursing management mode in treating patients with organophosphorus pesticide poisoning. Methods 96 patients with organophosphorus pesticide poisoning from May 2012 to December 2013 were setted in the experiment group, 102 patients with organophosphorus pesticide poisoning from September 2010 to April 2012 were setted in the control group. The experiment group was adapted to the implementa-tion and integration of emergency rescue mode of nursing management measures, including adjustment of the emergen-cy center layout and facilities of the emergency center, improve the emergency response plans, salvage procedures, pay attention to the timely rescue, optimization of human resources, standard care medical record writing, organize regular learning legal knowledge. The control group was given the conventional nursing, without implement care management and integrated emergency mode to adapt, through retrospective analysis comparing two groups of patients the treatment effect and satisfaction. Results Compared with control group, in experiment group, the reaction time was significantly shorten [(3.42±1.14) min vs (5.68±1.34) min], the difference was significant (P<0.01). Poisoning symptoms disappear time, time of cholinesterase restored to 60%, and the hospitalization time were shorten, the differences were significant (P<0.05). Hospitalization cost reduced [(14 889±3366) yuan vs (20 448±4181) yuan], the difference was significant (P<0.05). Treatment success rate and treatment satisfaction both increased with significant differences (96.9% vs 91.2%, 97.9% vs 93.1%). Conclusion Advantage of emergency integration mode, perfecting the emergency nursing management, provide timely, effective and scientific modern emergency nursing, can improve the treatment level of the patients with organophosphorus pesticide poisoning and comprehensive emergency qualities of the hospital.
