|
|
|
| Effect of emergency foresight nursing on patients with spinal cord injury accompanied by multiple injuries |
| SHENG Haifeng1, SHI Yulan2, YANG Haitao1 |
| 1. Fourth Medical Aero, 2. Nursing Department, Shanghai Municipal Corps Hospital, Chinese People’s Armed Police Forces, Shanghai 201103, China |
|
|
|
|
Abstract Objective To study the effect of emergency foresight nursing care and reasonable nursing measures on patients with spinal cord injury combined with multiple injuries. Methods Eighty-six patients with spinal cord injury and multiple trauma were enrolled in emergency department of this hospital from October 2010 to October 2013. According to the toss of a coin they were randomly divided into the observation group (n=44) and the control group (n=42). The observation group received foreseeable nursing whereas the control group shared routine nursing care. The ambulance arrival time (the time from onset of disease to the ambulance arrival), the effective rescue time (the time from the ambulance rrival to patients’ hospitalization), the successful rate of first aid (as a criterion, after the rescue, the vital signs of the patients were relieved and transfer to hospitalization or surgical treatment), and incidence and patients’ negative emotions (fear, anxiety, irritability) were recorded, and the Results were statistically analyzed. Results There was no significant difference in ambulance arrival time. In observation group, the average effective rescue time was (27.7±4.4) min, the success rate of first aid was 95.5%, incidence of negative emotions was 13.6%. In the control group, the average effective rescue time was (34.6±4.1)min, the success rate of first aid was 80.9%, and negative emotions incidence was 28.6%. The difference was significant (P＜0.05) between the two groups. Conclusions For multiple injuries with spinal cord injury, the basic principle is to save the lives of patients. Owing to difficulties in early diagnosis and easily missed diagnosis of spinal cord injury in multiple trauma patients with spinal cord injury, neck mobility should be strictly limited and further spinal damage should be prevented, which is particularly important to the treatment.
|
|
Received: 25 June 2014
|
|
|
|
|
|
| [1] |
张 颖.预见性护理在临床工作中的应用[J].天津护理, 2011, 2(19):122-123.
|
| [2] |
侯惠芹. 43例严重多发伤病人的急救与护理[J].全科护理, 2013, 11(11):2913-2914.
|
| [8] |
谢 弘.院前急救护理的体会[J].全科护理, 2011, 9(17):1565-1566.
|
| [9] |
刘义德. 院外院内急救链接中存在的问题和对策[J]. 中国急救复苏与灾害医学杂志, 2012, 7(6):512-514.
|
| [3] |
莫旻龙, 石 崛.严重多发伤患者救治的研究与进展[J].中国医药指南, 2011, 35(9):294-295.
|
| [10] |
许怀波, 周美平, 侯 波, 等.多发伤合并脊柱脊髓损伤的特点临床分析[J].当代医学, 2012, 18(22):77-78.
|
| [11] |
王小莉, 李 安.以脊柱损伤为主的多发伤患者院前急救护理[J].中外医学研究, 2012, 10(17):138-139.
|
| [4] |
孙淑英, 孙红玲, 张巧玲.36例脊柱损伤合并多发伤患者的急救护理[J].护理与康复杂志, 2008, 7(8): 593-594.
|
| [5] |
王宏美.多发伤患者急救护理探讨[J].中外医学研究, 2011, 9(28):87-88.
|
| [12] |
谢冬有.预见性思维在严重多发伤患者的院前急救护理[J].井冈山医专, 2009, 16(2):54-55.
|
| [6] |
刘 威, 齐丽梅.117例严重多发伤的急救护理体会[J].中国医药指南, 2012, 10(17): 328-329.
|
| [13] |
张佩芳, 李瑞东, 董家勇, 等.预见性护理措施在预防肝移植术后肺部感染中的应用[J].中华护理, 2012, 46(12):1164-1166.
|
| [7] |
陈春兰, 史连胜, 何成讲, 等.临床快捷急救护理路径在颅脑损伤中的应用及探讨[J].西南国防医药, 2012, 21(12):1374-1375.
|
| [14] |
钱方毅, 李宗浩. 心肺复苏的现代观点[J]. 中国急救复苏与灾害医学杂志, 2012, 7 (8): 696-702.
|
| [8] |
谢 弘.院前急救护理的体会[J].全科护理, 2011, 9(17):1565-1566.
|
| [9] |
刘义德. 院外院内急救链接中存在的问题和对策[J]. 中国急救复苏与灾害医学杂志, 2012, 7(6):512-514.
|
| [10] |
许怀波, 周美平, 侯 波, 等.多发伤合并脊柱脊髓损伤的特点临床分析[J].当代医学, 2012, 18(22):77-78.
|
| [11] |
王小莉, 李 安.以脊柱损伤为主的多发伤患者院前急救护理[J].中外医学研究, 2012, 10(17):138-139.
|
| [12] |
谢冬有.预见性思维在严重多发伤患者的院前急救护理[J].井冈山医专, 2009, 16(2):54-55.
|
| [13] |
张佩芳, 李瑞东, 董家勇, 等.预见性护理措施在预防肝移植术后肺部感染中的应用[J].中华护理, 2012, 46(12):1164-1166.
|
| [14] |
钱方毅, 李宗浩. 心肺复苏的现代观点[J]. 中国急救复苏与灾害医学杂志, 2012, 7 (8): 696-702.
|
|
|
|
2015, Vol. 26 
