摘要
目的探讨优化护理在创伤性鼻出血老年患者急救中的应用效果。方法按照患者入吉林大学第一医院就诊的顺序将182例老年鼻出血患者随机分成两组,采用常规护理方法的患者为对照组(n=91),常规护理方法主要包括及时止血、改进填塞方法、填塞后护理及生命体征监测等;在常规护理基础上采取优化护理措施的患者为观察组(n=91),比较两组急救护理后汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分、总改善率、护理满意度及不良反应发生率。结果急救护理后,两组HAMA及HAMD评分均降低,但观察组二者评分明显低于对照组,差异均有统计学意义(t=-3.883,P<0.001;t=-2.187,P=0.030);观察组总改善率(89.01%)明显优于对照组(69.23%),差异有统计学意义(χ2=9.340,P=0.003);观察组护理满意度(90.11%)明显优于对照组(61.54%),差异有统计学意义(χ2=20.26,P<0.001);对照组不良反应发生率(14.29%)高于观察组(5.49%),差异有统计学意义(χ2=3.946,P=0.047)。结论填塞止血与电凝止血是创伤性鼻出血患者急救护理中的主要方法,采用优化护理措施改善了患者焦虑情绪,提高了其生活质量,取得了较理想的临床效果。
Objective This study objective was to identify the effect of applying optimized nursing during the emergency treatment of elderly patients with traumatic epistaxis.Methods According to the order of patients treated in The First Hospital of Jilin University,the study sample was made up of182elderly patients from a hospital in Changchun City,which were randomly divided into two groups,the patients that received optimized nursing was the observation group(n=91).Conventional nursing interventions included timely hemostasis,nursing after tamponade and vital signs monitoring and patients that received conventional nursing intervention were the control group(n=91).The scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),the total improvement rate,nursing satisfaction,and adverse reactions rate were compared between the two groups.Results HAMA and HAMD scores of the two groups of patients were compared,HAMA and HAMD scores of the two groups were both decreased,but the observation group was significantly lower than the control group(t=-3.883,P<0.001;t=-2.187,P=0.030);the total improvement rate of the observation group(89.01%)was significantly better than that of the control group(69.23%),the difference was statistically significant(χ2=9.340,P=0.003);nursing satisfaction rate of observation group(90.11%)was significantly better than that of the control group(61.54%),the difference was statistically significant(χ2=20.26,P<0.001);the adverse reactions rate of the control group(14.29%)was higher than that of the observation group(5.49%),the difference was statistically significant(χ2=3.946,P=0.047).Conclusions Hemostasis by filling and electrocautery are the main methods for the emergency care of patients with traumatic epistaxis.Optimized nursing measures can help relieve the anxiety of patients and improve their quality of life,and it has achieved satisfactory clinical effect.
作者
丁可
杨一多
徐娜
孙铭楠
DING Ke;YANG Yiduo;XU Na;SUN Mingnan(Department of Otolaryngology Head and Neck Surgery, The First Hospital of Jilin University, Changchun 130021, China;The Second Department of Internal Medicine;Department of Lymphatic Hematology,Tumor Hospital of Jilin Province, Changchun 130012, China)
出处
《中华灾害救援医学》
2017年第7期392-395,共4页
Chinese Journal of Disaster Medicine
关键词
创伤性鼻出血
优化护理
急救
填塞止血
epistaxis
optimized nursing
emergency treatment
hemostasis by filling
