桂文芳 干文芳

【摘要】 目的：分析严重创伤性休克患者急诊综合护理干预的应用效果。方法：纳入病例是本院2017年11月-2019年11月急诊接诊的200例严重创伤性休克患者，随机平均分为两组，对照组100例采取传统护理，观察组100例患者采取急诊综合护理干预，对比两组SAS评分、SDS评分、VAS评分、并发症发生率、配合度、护理满意度。结果：观察组护理后SAS、SDS及VAS评分均低于对照组（P<0.05），观察组并发症发生率（2.00%）显著比对照组（11.00%）低，观察组总配合度（96.00%）显著比对照组（84.00%）高，观察组护理满意度（97.00%）显著比对照组（85.00%）高，差异均有统计学意义（P<0.05）。结论：急诊综合护理干预能降低严重创伤性休克患者并发症，减轻患者疼痛，提高患者满意度、配合度，患者无焦虑、抑郁等不良情绪，值得借鉴。

【关键词】 严重创伤性休克 急诊 综合护理干预 不良情绪 并发症

doi：10.14033/j.cnki.cfmr.2020.26.037 文献标识码 B 文章编号 1674-6805（2020）26-00-03

Effective Emergency Nursing Measures and Effect Analysis of Severe Traumatic Shock Patients/GUI Wenfang， GAN Wenfang. //Chinese and Foreign Medical Research， 2020， 18（26）： -100

[Abstract] Objective： To analyze the application effect of emergency comprehensive nursing intervention for patients with severe traumatic shock. Method： The included cases were 200 patients with severe traumatic shock who admitted to the emergency department of our hospital from November 2017 to November 2019. They were randomly divided into 2 groups. 100 patients in the control group received traditional care， and 100 patients in the observation group accepted emergency comprehensive nursing intervention. The two groups SAS score， SDS score， VAS score， complication rate， cooperation degree， and nursing satisfaction were compared. Result： The SAS， SDS and VAS scores of the observation group after nursing were lower than those of the control group （P<0.05）. The complication rate of the observation group （2.00%） was significantly lower than that of the control group （11.00%）. The total degree of cooperation in the observation group （96.00%） was significantly higher than that of the control group （84.00%）， and the nursing satisfaction of the observation group （97.00%） was significantly higher than that of the control group （85.00%）， and the differences were statistically significant （P<0.05）. Conclusion： Emergency comprehensive nursing intervention can reduce the incidence of complications， and effectively reduce pain in patients with severe traumatic shock and improve patients satisfaction and cooperation. Patients have no anxiety and depression emotions. It is worth learning.

[Key words] Severe traumatic shock Emergency Comprehensive nursing intervention Adverse emotions Complications

First-authors address： Zhongshan Hospital of Hubei Province， Wuhan 430033， China

严重创伤性休克是一种急诊常见病，主要是由于机体遭受间接或直接暴力所致，极易引发出血、重要脏器损伤等症状，减少了微循环灌注量[1]。严重创伤性休克患者普遍存在剧烈疼痛感，同时由于起病急骤、治疗费用等因素的影响，患者心理抑郁、焦虑等不良情绪较重，极大地降低了治疗配合度、依从性，不利于机体康复[2]。因此加强对严重创伤性休克患者心理疏导，及早消除患者内心不良情绪，对于減轻疼痛感，预防并发症等意义重大。综合护理干预是现代医学模式变革的产物，与传统护理最大的区别在于更加重视患者精神、心理健康状况，将以护士为主体的护理模式转变为以患者为中心的护理模式，体现了以人为本的护理理念，现已得到临床高度认可与赞同。基于以上背景，本文为进一步探究严重创伤性休克患者急诊综合护理干预的应用效果，纳入本院2017年11月-2019年11月急诊接诊的200例严重创伤性休克患者研究，具体如下。……