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膀胱压分级预警标识对腹部闭合性损伤患者手术率及护理质量的影响

The effect of bladder pressure grading early warning sign on the operation rate and nursing quality of patients with abdominal closed injury

摘要目的:探讨膀胱压分级预警标识对腹部闭合性损伤患者手术率及护理质量的影响。方法:选取2018年1月至2019年12月本院收治的90例腹部闭合性损伤患者作为研究对象,采用随机数字表法分为观察组(45例)和对照组(45例),对照组采用常规护理,观察组采用常规护理+膀胱压分级预警标识进行干预。对比两组患者手术率、并发症发生率、病死率及护理质量。结果:观察组手术率为75.56%,高于对照组的55.56%,差异有统计学意义( P<0.05);观察组并发症发生率为6.67%,低于对照组的22.22%,差异有统计学意义( P<0.05);观察组病死率为2.22%,略低于对照组的8.89%,但差异无统计学意义( P>0.05)。观察组干预后护理记录、无菌操作、物品管理及护理流程评分高于对照组,差异均有统计学意义(均 P<0.05)。 结论:膀胱压分级预警标识可提高腹部闭合性损伤患者手术率,降低并发症发生率及病死率,改善其护理质量。

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abstractsObjective:To explore the effect of early warning signs of bladder pressure grading on the operation rate and nursing quality of patients with abdominal closed injury.Methods:From January 2018 to December 2019, 90 patients with closed abdominal injury in our hospital were selected as the research objects, and were divided into observation group (45 cases) and control group (45 cases) by the random number table method. The control group was treated by routine nursing, and the observation group was treated by routine nursing + bladder pressure grading early warning signs. The operation rate, complication rate, mortality rate, and nursing quality of the two groups were compared.Results:The operation rate of the observation group was 75.56%, which was higher than that of the control group (55.56%), with statistically significant difference ( P<0.05). The complication rate of the observation group was 6.67%, which was lower than that of the control group (22.22%), with statistically significant difference ( P<0.05). The mortality rate of the observation group was 2.22%, which was slightly lower than that of the control group (8.89%), but the difference was not statistically significant ( P>0.05). The scores of nursing record, aseptic operation, goods management, and nursing process in the observation group were significantly higher than those in the control group (all P<0.05). Conclusion:Bladder pressure grading early warning signs can improve the operation rate of patients with abdominal closed injury, reduce the incidence of complications and mortality, and improve the quality of nursing.

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