前瞻性护理对急诊外科患者救治中的应用价值

邱丽君 陈扬 潘宏肖

[摘要] 目的 探讨前瞻性护理在急诊外科患者救治工作的应用价值。方法 随机选取2018年1—12月间在该院急诊外科就诊的患者89例，因为护理方式的差异，分成对照组与观察组，分别予以常规护理和前瞻性护理，进行两组急救护理总有效率、风险事件发生率和护理满意程度的对比。结果 在急救护理总的有效率上，观察组高于对照组（95.56% vs 79.55%），差异有统计学意义（χ2=5.264，P<0.05）;对照组相比，观察组的风险事件的发生率更低，差异有统计学意义（P<0.05）;在护理满意度方面，观察的得分明显高于对照组，数据间比较差异有统计学意义（P<0.05）。结论 在急诊外科患者的护理中采用前瞻性护理可提高护理的总有效率和满意度，能降低风险事件的发生，推广应用价值高。

[关键词] 前瞻性护理;急诊外科;呼吸道梗阻;骨折

[Abstract] Objective To explore the application value of prospective nursing in emergency surgery. Methods Convenient select eighty-nine patients who were admitted to the hospital for emergency surgery between January 2018 and December 2018 were randomly selected. Due to the difference in nursing methods， they were divided into control group and observation group， and were given routine care and prospective care. Comparison of total nursing effectiveness， risk event incidence and nursing satisfaction. Results The total effective rate of emergency care was higher in the observation group than in the control group （95.56% vs 79.55%）， and the difference was statistically significant （χ2=5.264， P<0.05）. Compared with the control group， the risk events incidence in the observation group was lower， and the difference was statistically significant（P<0.05）. In terms of nursing satisfaction， the observed score was significantly higher than that of the control group， the difference was statistically significant （P<0.05）. Conclusion The use of prospective nursing in the nursing of emergency surgical patients can improve the overall effectiveness and satisfaction of nursing， reduce the occurrence of risk events， and have high value in promotion and application.

[Key words] Prospective nursing; Emergency surgery; Respiratory tract obstruction; Fracture

急诊科是急诊患者入院治疗的必经之路，科室内患者病情急、发展快，對护理工作要求高，预见性差，工作繁琐复杂，出现风险事件的概率高，也会导致护患纠纷的产生，影响救治效果，甚至危及患者生命安全。不同于其他科室，急诊科患者病情类型多、病情复杂、抢救时间有限，对诊断、治疗与护理工作的配合度要求较高。这就需要临床重视急诊外科救治工作中的护理工作，能够根据患者实际需求和病情变化实施针对性护理服务，以提高救治效果，挽救患者生命[1-3]。该研究随机选择自2018年1—12月间该院急诊外科收治的患者89例为研究对象，给予急诊外科患者前瞻性的护理干预，获得效果比较突出，现报道如下。

1  资料与方法

1.1  一般资料

随机选择该院急诊外科收治的患者89例，基于护理措施的不同，分成对照组44例，观察组45例。对照组中有男性患者24例，女性患者20例，年龄分布27～75岁，平均（51.12±2.45）岁，疾病类型26例骨折，18例腹部疾病。观察组中男性患者22例，女性患者23例，年龄分布25～74岁，平均（50.25±2.18）岁，疾病类型：骨折和腹部疾病分别为28例和17例。……