不同护理干预方式对急性农药中毒患者预后的影响
马萍，赵艳
（咸阳市第一人民医院，陕西 咸阳，712000）
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摘要：
目的 研究不同护理干预方式对急性农药中毒患者预后的影响。方法 本次研究选取的研究对象为2012 年11 月至 2016年11 月在我院进行治疗的急性农药中毒患者，将患者按照入院时间为对照组和观察组，各100 例。其中，对照组患者实 施常规护理，观察组患者在此基础上采用细致化护理。对比两组患者的48 h 内抢救成功指标、临床指标及预后情况、护理满 意度。结果 两组患者的中毒症状消失评分比较，无显著差异（P>0.05）；观察组患者的生命体征平稳、意识恢复以及重要器官 功能损害评分均高于对照组（P<0.05）。观察组患者的全血胆碱酯酶活性恢复时间和住院时间均短于对照组，并发症发生率 和死亡率均低于对照组（P<0.05）。观察组患者的护理满意度高于对照组（P<0.05）。结论 对急性农药中毒患者实施细致化护 理可促进抢救成功率的提高，改善患者的预后，促进患者身体恢复，提高患者的护理满意度。
关键词：急性农药中毒；护理；预后影响
中图分类号：R473.5 文献标志码：A文章编号：2096-1413(2017)36-0167-02
Effects of different nursing intervention on the prognosis of patients with acute pesticide poisoning
MA Ping, ZHAO Yan
(the First People``s Hospital of Xianyang, Xianyang 712000, China)
ABSTRACT: Objective To study the effects of different nursing intervention on the prognosis of patients with acute pesticide poisoning. Methods From November 2012 to November 2016, 200 patients with acute pesticide poisoning treated in our hospital were enrolled as the study objects, and divided into control group and observation group according to the time of hospitalization, with 100 cases in each group. The control group was given routine nursing, the observation group on the basis of the control group was given detailed nursing. The 48 h rescue success indicators, clinical indicators and prognosis, nursing satisfaction were compared in the two groups. Results There was no significant difference in the disappearance of poisoning symptoms scores between the two groups (P>0.05). The scores of stable vital signs, recovery of consciousness, and impairment of vital organs in the observation group were higher than those in the control group (P<0.05). The recovery time of whole blood cholinesterase activity and hospital stay in the observation group were shorter than those of the control group, and the complication rate and mortality rate in the observation group were lower than those in the control group (P<0.05). Conclusion Detailed nursing in patients with acute pesticide poisoning can promote the success rate of rescue, improve the prognosis, promote the recovery of patients and increase the patients`` nursing satisfaction.
KEYWORDS: acute pesticide poisoning; nursing; prognosis influence
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