Study on the effectiveness of targeted nursing practice for gastric lavage in children with acute poisoning due to accidental ingestion
误服急性中毒患儿洗胃的针对性护理实践效果研究

摘要

目的 分析误服急性中毒患儿洗胃护理方案，探索针对性护理的构建及应用效果。方法 研究对象选取，本院儿科、急性中毒（中毒原因—误服）、家长同意的患儿，时间纳入2023年1月-同年12月，共计例数，60例，参照抽签结果划分组别，“奇”数—纳入CT组—护理方案常规，“偶”数—纳入ZDX组—护理方案针对性，分析护理实践情况。结果 护理后CT组、ZDX组分析，血氧分压情况分析结果（t值3.163），ZDX组更高（P＜0.05）；心率情况分析结果（t值16.773）、患儿评估耗时情况分析结果（t值8.984）、洗胃操作耗时情况分析结果（t值17.985），ZDX组更低（P＜0.05）。评估时间确定—护理后CT组、ZDX组，焦虑分数—汉密尔顿焦虑量表（HamiltonAnxietyScale，简称HAMA）分析结果（t值4.356）、抑郁分数—汉密尔顿抑郁量表（Hamiltondepressionscale，简称HAMD）分析结果（t值2.315），ZDX组均更低（P＜0.05）。评估时间确定—护理后，总并发症发生率分析结果（χ2值6.405）、家长护理满意度分析结果（χ2值5.455），ZDX组更理想（P＜0.05）。结论 针对性护理实践效果理想，误服急性中毒患儿血氧分压明显升高，加速患儿洗胃治疗，缓解患儿焦虑、抑郁，有效减少并发症，促进家长护理满意度提升。

Abstract

Objective To analyze the gastric lavage nursing care plan for children with accidental acute poisoning and to explore the construction and application effects of targeted nursing care.
Methods The study subjects were children in our hospital's pediatrics and acute poisoning departments (poisoning caused by accidental ingestion), with parental consent, from January 2023 to December 2023, totaling 60 cases. According to the lottery results, the cases were divided into groups: odd numbers were assigned to the CT group—routine nursing care plan, even numbers to the ZDX group—targeted nursing care plan. Nursing practice was analyzed.
Results After nursing, analysis of the CT and ZDX groups showed that the partial pressure of oxygen (PaO2) (t = 3.163) was higher in the ZDX group (P < 0.05); heart rate (t = 16.773), evaluation time for children (t = 8.984), and gastric lavage operation time (t = 17.985) were lower in the ZDX group (P < 0.05). Post-nursing assessment showed that the anxiety scores—Hamilton Anxiety Scale (HAMA) (t = 4.356) and depression scores—Hamilton Depression Scale (HAMD) (t = 2.315) were lower in the ZDX group (P < 0.05). Overall, the total incidence of complications after nursing was analyzed. χ2 Value 6.405), analysis of parental care satisfaction (χ2 value 5.455), the ZDX group was more favorable (P<0.05).
Conclusion   Targeted nursing practice is effective, significantly increases the blood oxygen partial pressure in children with acute poisoning due to accidental ingestion, accelerates gastric lavage treatment, alleviates anxiety and depression in children, effectively reduces complications, and promotes an increase in parental care satisfaction.