标题：集束化护理在急性重度有机磷农药中毒中的应用

      作者：杨莉 1，陈利明 2，张宁 3    1.南方医科大学深圳医院急诊科，广东 深圳 518101；2.河南中医药大学第三附属医院急诊科，河南 郑州 450000；3.河南省人民医院肿瘤科，河南 郑州 450000

      卷次： 2019年30卷5期

      【摘要】 目的 探讨集束化护理在急性重度有机磷农药中毒中的应用价值。方法 选择2017年1月至2018年9月期间南方医科大学深圳医院收治的44例急性重度有机磷农药中毒患者为研究对象，根据随机数表法分为观察组与对照组，每组22例，对照组予常规护理干预，观察组则应用集束化护理干预，比较两组患者临床疗效、并发症发生率及护理满意度。结果 观察组患者的阿托品用量、胆碱酯酶(CHE)活性恢复 60%时间及住院时间分别为(288.19±124.18) mL、(142.18±20.35) h、(10.26±1.24) d，明显少于对照组的(356.54±132.44) mL、(173.45±27.64) h、(13.15±2.58) d，差异均有统计学意义(P<0.05)；观察组患者的并发症发生率为9.09%，明显低于对照组的31.82%，差异有统计学意义(P<0.05)；观察组患者的护患沟通、健康宣教、护理操作得分分别为(9.36±0.87)分、(9.22±0.60)分、(9.14±0.61)分，均明显高于对照组的(8.63±0.44)分、(8.38±0.54)分、(8.56±0.52)分，差异均有统计学意义(P<0.05)。结论 集束化护理干预应用于急性重度有机磷农药中毒中，可有效促进患者的康复，减少并发症发生率，同时提高患者的护理满意度。
      【关键词】 有机磷农药中毒；集束化护理；胆碱酯酶；阿托品；疗效
      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2019）05—678—03A

pplication of cluster nursing in acute severe organophosphorus pesticide poisoning.
YANG Li 1, CHEN Li-ming 2,ZHANG Ning 3. 1. Department of Emergency, Shenzhen Hospital, Southern Medical University, Shenzhen 518101,Guangdong, CHINA; 2. Department of Emergency, the Third Affiliated Hospital of Henan University of Traditional ChineseMedicine, Zhenzhou 450000, Henan, CHINA; 3. Department of Oncology, Henan Province People's Hospital, Zhengzhou450000, Henan, CHINA
【Abstract】 Objective To explore the application value of cluster nursing in acute severe organophosphoruspesticide poisoning. Methods A total of 44 patients with acute severe organophosphorus pesticide poisoning treated inShenzhen Hospital, Southern Medical University from January 2017 to September 2018 were selected as the researchsubjects. According to the random number table, they were divided into observation group and control group, with 22cases in each group. The control group was given routine nursing intervention, while the observation group was givencluster nursing intervention. The clinical efficacy, incidence of complications, and nursing satisfaction of the two groupswere compared. Results The dosage of atropine, the recovery time of CHE activity to 60%, and the hospitalizationtime in the observation group were (288.19±124.18) mL, (142.18±20.35) h, (10.26±1.24) d, respectively, significantlyless than (356.54±132.44) mL, (173.45±27.64) h, (13.15±2.58) d in the control group (P<0.05). The incidence of compli-cations in the observation group (9.09%) was significantly lower than that in the control group (9.09%), and the differ-ence was statistically significant (P<0.05). The scores of nursing satisfaction survey, including nurse-patient communica-tion, health education, and nursing operation in the observation group were (9.36±0.87) points, (9.22±0.60) points, (9.14±0.61) points, significantly higher than (8.63±0.44) points, (8.38±0.54) points, (8.56±0.52) points in the control group (P<0.05). Conclusion Cluster nursing intervention applied to acute severe organophosphorus pesticide poisoning can effec-tively promote the rehabilitation of patients, reduce the incidence of complications, and improve the satisfaction of nursing.
      【Key words】 Organophosphorus pesticide poisoning; Cluster nursing; Cholinesterase; Atropine; Curative effect·护理·doi:10.3969/j.issn.1003-6350.2019.05.039