摘要
目的 观察分析对重症有机农药中毒患者实施急诊护理的临床效果和应用价值。方法 选择院内就诊的60例重症有机农药中毒患者（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以就诊时间为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，急诊护理。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（急诊护理）洗胃时间、胆碱酯酶活性恢复时间、清醒用时、症状缓解时间、住院时间更短，症状改善程度评分更高，生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能/总体健康）更高，负性情绪评分（焦虑/抑郁）更低，并发症发生率更低，差异具有统计学意义（P<0.05）。结论 急诊护理可以有效减少重症有机农药中毒患者接受有效治疗所需时间，降低并发症发生风险，促进恢复，减少负性情绪，提高生活质量，有较高应用价值。
关键词： 重症；有机农药中毒；急诊护理；护理效果
Abstract
Objective To observe and analyze the clinical effect and application value of emergency nursing for patients with severe organic pesticide poisoning. Methods A total of 60 patients with severe organic pesticide poisoning who were treated in the hospital (sample inclusion number: 60 cases; sample inclusion time: May 2023 to May 2024) were selected and divided into two groups, control and experimental, based on the time of consultation. The number of observation cases was highly consistent. Routine nursing and emergency nursing were implemented respectively. The nursing effects were collected and analyzed. Results Compared with the control group (routine nursing), the experimental group (emergency nursing) had shorter gastric lavage time, cholinesterase activity recovery time, awakening time, symptom relief time, and hospitalization time, higher symptom improvement score, higher quality of life score (role function/emotional function/cognitive function/social function/physical function/overall health), lower negative emotion score (anxiety/depression), and lower complication rate. The differences were statistically significant (P<0.05). Conclusion Emergency nursing can effectively reduce the time required for patients with severe organic pesticide poisoning to receive effective treatment, reduce the risk of complications, promote recovery, reduce negative emotions, and improve the quality of life, and has high application value.
Key words： Severe illness; Organic pesticide poisoning; Emergency nursing; Nursing effect
参考文献 References
[1] 罗艳,涂丽娟.基于零缺陷理念的临床护理路径在急诊有机磷农药中毒患者中的应用[J].现代医药卫生,2024, 40(22): 3880-3883.
[2] 孙雨,朱迎迎,沈园园.无缝隙护理联合优化急救护理流程对急诊有机磷农药中毒患者的影响[J].中外医疗,2024, 43(9): 136-139.
[3] 林敏儿.对有机磷农药中毒患者进行急诊急救护理对其抢救成功率、并发症发生率的影响[J].当代医药论丛, 2024,22(16):171-174.
[4] 李晓凤.多学科协作模式联合无隙一体化急救护理在急诊有机磷农药中毒患者中的应用效果分析[J].中国社区医师,2024,40(15):86-88.
[5] 吕迎春,解利军.优质护理在急性重症有机磷农药中毒患者血液灌流治疗中的作用分析[J].当代医药论丛,2024, 22(9): 170-173.
[6] 吕帅帅,郭颖颖.重症有机磷农药中毒的急诊急救护理效果分析[J].中外医药研究,2024,3(12):94-96.
[7] 宋娜娜,尚应萌,李燕.强化心理护理联合急救模式对有机磷农药中毒患者的影响[J].中外医药研究,2024,3(24): 109-111.
[8] 刘静,赵曙光,黄箫琪,等.营养序贯护理联合同质化规范护理在有机磷农药中毒患者中的应用研究[J].延边大学医学学报,2024,47(4):522-524.
[9] 孔宙.有机磷农药中毒重症患者的呼吸衰竭急救措施及预后价值研究[J].科技与健康,2024,3(13):45-48.
[10] 蔡静娴,吴春香,林宝丽,等.心理干预联合急救护理路径在急性有机磷农药中毒患者救治中的应用效果分析[J].基层医学论坛,2024,28(16):136-138142.
[11] 姜君,梁松健,赵帅.急救后血液灌流联合解磷定VitB6治疗对重症有机磷农药中毒患者的疗效[J].四川生理科学杂志,2024,46(5):1065-1067.
[12] 庹萍,冯程程.急诊急救护理干预对重症有机磷农药中毒患者的作用探究[J].现代消化及介入诊疗,2022(S01): 1065-1065.
[13] 朱海云.重症有机磷农药中毒患者行急诊急救护理干预的临床效果[J].系统医学,2020,5(11):184-186.
[14] 贾少艳.血液透析联合血液灌流对急诊重症有机磷农药中毒患者生化指标的影响分析[J].现代诊断与治疗,2021, 32(10):1637-1639.
[15] 张浩.重症有机磷农药中毒患者的急诊急救护理干预效果[J].当代临床医刊,2021,34(3):60-60108.
[16] 李秀梅.重症有机磷农药中毒患者的急诊急救护理要点分析[J].中国农村卫生,2020,0(4):10-10.
[17] 孔维明.急诊护理干预在急诊重症有机磷农药中毒患者中的应用[J].中外女性健康研究,2022(13):146-147157.
[18] 席佳佳.重症有机磷农药中毒患者的急诊急救治疗及预后价值分析[J].医学理论与实践,2020,33(16):2673-2674.
[19] 常天柱.急诊急救护理措施与护理服务应用于重症有机磷农药中毒患者的效果[J].中华养生保健,2022,40(4): 103-105.