| 摘要: |
| ［摘要］ 目的 通过比较自编专用作业指导书和常规护理在外伤性肝脾损伤患者护理中的应用，评价自编专用作业指导书在外伤性肝脾损伤患者护理中的应用价值。方法 72例外伤性肝脾损伤患者分为实验组（2006-01～2008-12）和对照组（2003-01～2005-12），每组36例，实验组在常规护理基础上运用自行编写的“外伤性肝脾损伤专用作业指导书”进行护理，对照组按护理常规护理，对比观察两组患者平均住院日、健康教育知识知晓率、满意度等指标的效果。结果 实验组患者平均住院日为（14.21±1.86）d，健康教育知晓率为95.78%，对护理工作满意度为100%，而对照组的分别为（18.72±2.56）d, 82.62%和94.40%。平均住院日两组比较差异有统计学意义（t =8.55，P=0.000），后两项实验组比对照组分别提高了13.2%、5.6%。结论 自编专用作业指导书能有效提高患者健康知识知晓率和满意度，缩短平均住院日，提高护理工作质量，体现以人为本的护理理念，具有推广应用价值。 |
| 关键词: 外伤性肝脾损伤 自编专用作业指导书 护理 |
| DOI：10.3969/j.issn.1674-3806.2009.10.41 |
| 分类号:R 197.2 |
| 基金项目: |
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| The value of special working in structions in caring the liver and spleeni Injuries |
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HUANG Fang-yan, HUANG Qiu-huan, LONG Li-zhen, et al.
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Nursing Department, Affiliated Hospital of Youjiang Medical College for Nationalities Baise, Guangxi 533000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the value of special working instructions in the trauma patients with the liver and spleen injuries by comparing the guidance of special working instructions and the conventional care in those patients.Methods Seventy-two patients with traumatic injuries of the liver and spleen were included in the research, among which 36 patients who were admitted in January 2006 to December 2008 were used as the experimental group, and those 36 cases from January 2003 to December 2005 as the control group; The experimental group received the conventional care based on self-prepared “Traumatic injury in the liver and spleen-specific working instructions”. And the control group received conventional Care. Such index as an average hospital stay, health education awareness, satisfaction in the two groups were observed.Results The average length of stay in experimental group were （14.21±2.56） days, which were （18.72±2.56） days in the control group.It was different significantly between the two group (t=8.55, P= 0.000); The health education awareness were 95.78% and the satisfaction was 100% in the experimental group;and 82.62% and 94.40% respectively in the control group.Which had an increase of 13.2%, 5.6% respectively.Conclusion Special working instructions can be effective in improving the health knowledge and awareness and satisfaction, reducing the average length of stay and improving the quality of care and embodying the concept of people-centered care.It has the popularization and application value. |
| Key words: Traumatic liver and spleen injuries Special working instructions Care |
