摘要:
Objective To observe the effect of new vomit-receiving device in department of neurosurgery. Methods A total of 44 patients with vomiting symptoms in our department in May 2015 were randomly divided into the observation group (n=23) and the control group (n=21). The observation group used a new type of vomit-receiving device to carry out vomiting nursing, while the control group was treated with conventional vomiting nursing. The number of cases of vomiting and the number of occurrence times were observed. Results Observation group of 23 cases with no vomit leaks occur, and the control group 21 patients vomit leaked out in 16 cases, the incidence of vomit were leaked by 72.73% (χ2=27.53, P < 0.01), vomiting leaked rate was 40.74% (22/54) (χ2 = 32.49, P < 0.01), including who prepared to receive tools but not timely for 16 times, receive tools leakage for 5 times, no enough capacity of receive tool for 1 times. The total score of patients′ satisfaction in the observation group was 78, while the total score of patients in the control group was 57. The difference was statistically significant (t=2.80, P<0.01). The total nursing time of the observation group was 68 min, and that of the control group was 347 min,the difference was statistically significant (t=-5.73, P<0.01). Conclusions The new vomit-receiving device can effectively reduce the incidence of vomit substance leakage, and the installation is easy to install, easy to operate and conducive to the management of vomit. It greatly improves the efficiency of nursing, and effectively improves the satisfaction of patients and their families to nursing.%目的 观察新型呕吐物接收装置在有呕吐症的神经外科患者中应用的效果.方法将武汉大学人民医院神经外科2015年5月收治的有呕吐症状的患者共44例,按照随机数字表法分成观察组23例与对照组21例,观察组应用新型呕吐物接收装置进行呕吐护理,对照组采用常规呕吐护理方式进行护理,观察各组呕吐物外泄的病例数及发生次数.结果 观察组23例患者无呕吐物外泄发生,而对照组21例患者发生呕吐物外泄16例,呕吐物外泄的发生率72.73%,2组比较差异有统计学意义(χ2=27.53,P<0.01);对照组呕吐外泄发生率为40.74%(22/54),其中准备了接收工具但接收不及时16次,接收工具渗漏5次,接收工具容量不足1次,2组比较差异有统计学意义(χ2=32.49,P<0.01).观察组患者满意度总均分78分,对照组患者满意度总均分57分,差异有统计学意义(t=2.80,P<0.01);观察组护理总时长68 min,对照组护理总时长347 min,差异有统计学意义(t=-5.73,P<0.01).结论 新型呕吐接收装置能有效降低呕吐物外泄的发生率,且装置安装简便,容易操作,有利于呕吐物的管理;极大地提高了护理效率,有效提高了患者及家属对护理的满意程度.