细节管理在毒蛇咬伤患者中的护理应用.docVIP

细节管理在毒蛇咬伤患者中的护理应用 　　[摘要] 目的 探讨细节管理在毒蛇咬伤患者护理工作的护理效果。 方法 选取2013年4～9月本院收治的122例毒蛇咬伤患者为研究对象，4～6月收治的61例患者为对照组，采取常规护理；7～9月收治的61例患者为观察组，采取常规护理加细节护理措施，对比两组的伤口愈合时间、住院时间和胀痛消失时间及其伤口感染率、并发症发生率，并比较患者的住院满意度和出院后满意度。 结果 观察组患者的伤口愈合时间、住院时间、胀痛消失时间均明显短于对照组，观察组患者伤口感染率、并发症发生率均明显低于对照组，观察组患者住院满意度、出院后满意度均明显高于对照组，差异有统计学意义（P0.05）。 结论 细节管理在毒蛇咬伤患者的护理工作中效果显著，值得在今后护理工作中推广应用。 　　[关键词] 细节管理；毒蛇咬伤；护理 　　[中图分类号] R472 [文献标识码] B [文章编号] 1674-4721（2014）04（a）-0151-03 　　[Abstract] Objective To investigate effect of nursing work of details management in patients bitten by poisonous snake. Methods 122 patients bitten by poisonous snake were selected in hospital from April 2013 to September 2013 as research object.61 patients received from April to June as control group，who treated routine nursing.61 patients received from July to September as observation group，who treated routine nursing and details management.Wound healing time，hospitalization time，pain disappeared time，wound infection rate，complication rate were compared between two groups.Inpatient satisfaction and discharge satisfaction were compared. Results Wound healing time，hospitalization time，pain disappeared time in observation group were significantly less than control group.Wound infection rate and complication rate in observation group were significantly lower than control group.Inpatient satisfaction and discharge satisfaction in observation group were significantly higher than control group，the difference was statistically significant （P0.05）. Conclusion Details management in patients bitten by poisonous snake has significant effect，which is worth popularizing in nursing work. 　　[Key words] Details management；Snake bite；Nursing 　　粤北山区为毒蛇咬伤高发地区，近年来毒蛇咬伤的病例不断增多，尤其在4～9月份，毒蛇咬伤是常见的急症[1-3]，若护理不及时、忽略细节，可能导致患者治愈延迟、出现并发症、护理质量下降、护理诚信度与患者满意度下降等不良后果[4-6]，本院2013年7～9月对毒蛇咬伤病例实施护理实施细节管理，取得显著效果。 　　1 资料与方法 　　1.1 一般资料 　　选取2013年4～9月本院收治的122例毒蛇咬伤患者为研究对象，其中4～6月收治的61例患者为对照组，男性42例，女性19例；年龄1.5～78.0岁，平均（47.30±16.34）岁；咬伤部位：上肢24例，下肢35例，躯干2例；受伤至就诊时间（11.10±8.35） h