Objective To explore the preventive effect of emergency nursing on complications of acute abdomen and the corresponding nursing experience. Methods 65,438+050 patients with acute abdomen hospitalized in our hospital from April 2, 1965 to June 3, 1965 were randomly divided into experimental group and control group, and the control group was given routine emergency care. The experimental group was given emergency care on the basis of routine emergency care, and the incidence of complications, average hospitalization time and patients' satisfaction with nursing service were compared between the two groups. Results the incidence of complications in the experimental group was significantly lower than that in the control group, and the average hospitalization days were less than that in the control group. Patients' satisfaction with nursing service was significantly higher than that of the control group (P
Key words: acute abdomen; Emergency care; Complications; Preventive effect; Nursing experience
With the development of society and the change of people's lifestyle, the incidence of acute abdomen is increasing year by year, which is one of the common emergencies. The disease has the characteristics of acute onset, complex condition, many changes and rapid progress, and the incidence site involves pelvic cavity, abdominal cavity and other organs. If it is not treated in time, it will easily lead to serious adverse consequences and even death. Therefore, how to treat such patients in time, reduce complications and improve the therapeutic effect has become a topic of clinical concern. From the perspective of nursing, this study applied emergency nursing to the emergency treatment of patients with acute abdomen and achieved remarkable clinical results. The report is as follows.
1 data and methods
1. 1 general information
We selected 150 patients with acute abdomen who were hospitalized in our hospital from 20 12 to 20 13 months, including 63 males and 87 females, with an average age of (42.58 ~ 4.76) years. Among them, there were 85 cases of surgical acute abdomen (gallstone 3 1 case, cholecystitis 15 case, appendicitis 14 case, peritonitis 6 case, urinary stone 18 case, intestinal obstruction 8 case and gastric perforation 7 case), 52 cases of medical acute abdomen and gynecological acute abdomen/kloc case. According to the principle of random grouping, they were divided into experimental group and control group with 75 cases in each group. There were 32 male patients and 43 female patients in the experimental group, with an average age of (4 1.93 ~ 4. 15), including 43 patients with acute abdomen at night, 26 patients with acute abdomen in internal medicine and 6 patients with acute abdomen in gynecology. In the control group, there were 3 males and 44 females with an average age of (42.65 ~ 4.33) years. Among them, there were 44 cases of surgical acute abdomen, 26 cases of medical acute abdomen and 5 cases of gynecological acute abdomen. There was no significant difference in age, sex, disease type and condition between the two groups (P & gtO.05).
1.2 method
1.2. 1 Nursing measures in the control group Patients in the control group were given routine first aid measures after hospitalization. ① Strengthen the observation of vital signs. Use multifunctional ECG monitoring equipment to detect the changes of blood pressure and pulse. ② Observe the changes of patients' consciousness: Patients with acute abdomen may go into shock, which is excited in the early stage, and then gradually turns into depression or even coma. ③ Strengthen the observation of peripheral circulation: pay attention to the patient's body temperature, skin color, blood supply to lips, face and fingers, and implement rescue measures in time if the limbs are cold and pale. ④ Prevention of complications: judge whether the patient has signs of shock in time, if so, give anti-shock treatment in time, supplement electrolyte and blood volume according to the doctor's advice, and correct the disorder of body fluids. At the same time, epinephrine is the first choice for the use of anti-shock drugs; Patients with respiratory distress syndrome were given respiratory support and used vasodilators and other drugs. -Gentleman's paper net