摘要
目的 探究急性一氧化碳中毒患者行高压氧治疗时使用人文护理的效用与前景。方法 选定2021年1月至2022年12月期间于我院就诊并接受高压氧治疗的62例急性一氧化碳中毒患者为分析对象。依据随机数字表法将所有患者分为A组、B组,每组31例。A组施行常规护理措施,B组实施人文护理策略。比较两组高压氧治疗起效时间、症状改善时间,以及治疗前后的丙二醇与超氧化物歧化酶变化。对比两组症状缓解度、护理满意度及并发症发生率。结果 B组治疗起效时间及症状改善时间短于A组,且治疗后的丙二醇与超氧化物歧化酶指标优于A组,差异P<0.05;B组症状缓解度、护理满意度高于A组,且并发症发生率低于A组,差异P<0.05。结论 人文护理有利于解决患者躯体问题的同时,帮助其改善情绪和平稳心态,从而促进症状缓解和治疗效果提升,值得实施于急性一氧化碳中毒患者高压氧治疗中。
关键词: 人文护理;高压氧;一氧化碳中毒;急性
Abstract
Objective To explore the effectiveness and prospect of humanistic nursing in hyperbaric oxygen therapy for acute carbon monoxide poisoning patients. Methods 62 patients with acute carbon monoxide poisoning who received hyperbaric oxygen therapy in our hospital from January 2021 to December 2022 were selected as the analysis objects. According to random number table method, all patients were divided into group A and group B, with 31 cases in each group. Group A implemented routine nursing measures, group B implemented humanistic nursing strategies. The onset time of hyperbaric oxygen treatment, symptom improvement time, and the changes of propylene glycol and superoxide dismutase before and after treatment were compared between the two groups. Symptom relief, nursing satisfaction and complication rate were compared between the two groups. Results The onset time and symptom improvement time of group B were shorter than those of group A, and the indexes of propylene glycol and superoxide dismutase after treatment were better than those of group A, the difference was P<0.05. Symptom relief degree and nursing satisfaction degree of group B were higher than those of group A, and complication rate of group B was lower than that of group A (P<0.05). Conclusion Humanistic nursing can help to solve the physical problems of patients, improve their mood and stable state of mind, and promote the relief of symptoms and the improvement of treatment effect, which is worthy of implementation in hyperbaric oxygen therapy for acute carbon monoxide poisoning patients.
Key words: Humanistic nursing; Hyperbaric oxygen; Carbon monoxide poisoning; Acute
参考文献 References
[1] 眭广红. 高压氧辅助优质护理服务防治一氧化碳中毒迟发性脑病的效果研究[J]. 全科护理,2013,11(24):2279-2280.
[2] 谢玉英,卞丽娟. 目标导向性的针对性护理干预在高压氧治疗急性一氧化碳中毒中的应用[J]. 现代实用医学,2022,34(5):651-653.
[3] 黄卓玲,陈映柔,张叙填. 整体护理在急性一氧化碳中毒高压氧舱治疗中的应用价值[J]. 中国医学创新,2020, 17(6): 86-90.
[4] 涂江梅,林永丽,陈俭,等. 急性一氧化碳中毒高压氧舱治疗中整体护理的效果分析[J]. 中国处方药,2020, 18(11): 154-155.
[5] 马世东,罗培丰. 高压氧治疗急性一氧化碳中毒患者的效果及安全性[J]. 医疗装备,2021,34(20):98-99.
[6] 林志华. 高压氧治疗技术在急性一氧化碳中毒护理中的临床研究[J]. 中国现代药物应用,2019,13(20):129-131.
[7] 王灿花. 高压氧治疗急性一氧化碳中毒的临床护理干预观察[J]. 中国保健营养,2018,28(13):149.
[8] 赵艺,孙秋岩. 高压氧科优质人文护理在一氧化碳中毒诊疗过程中的作用[J]. 中国社区医师,2019,35(35):133-134.
[9] 王冉,王贵红,张琳琳,等. 分析基于需要层次理论的优质护理在急性一氧化碳中毒迟发性脑病(DEACMP)患者护理中的应用效果[J]. 中国保健营养,2021,31(29):210.
[10] 杨艳芳. 基于需要层次理论的优质护理在急性一氧化碳中毒迟发性脑病患者护理中的应用效果[J]. 河南医学研究,2018,27(14):2647-2648.
[11] 葛丽萍. 急性一氧化碳中毒的临床观察和护理[J]. 世界临床医学,2017,11(3):56,58.
[12] 高小艳. 急性一氧化碳中毒(ACMP)患者应用高压氧治疗的护理体会[J]. 养生大世界,2021(4):215.
[13] 汝忠艳. 急性一氧化碳中毒患者接受高压氧治疗期间的护理方法研究[J]. 中华养生保健,2021,39(10):39-40.