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Mechanical eye injury first aid training in the care of emergency department

General information in patients no significant difference (p> 0.05), Table 1. Table 1 Comparison of general information on two groups of patients (cases) Note: The self-treatment is not yet arrived at the scene in health care for patients with the washing and dressing their own way for the intervention group of 1.2 patients during the care of nurses, for ophthalmology medication,[link widoczny dla zalogowanych], treatment of ocular trauma,[link widoczny dla zalogowanych], eye flushing and oppression of the intensity of the eye, such as washing, dressing wounds and other knowledge of the system eye training,[link widoczny dla zalogowanych], eye trauma patients as early as possible the implementation of the nursing intervention, control group patients in the emergency eye injury first aid nurses thinking defects lack of knowledge of care under the circumstances. 1.3 OUTCOME MEASURES patients were observed number of cases of visual impairment, general, visual impairment, including vision loss,[link widoczny dla zalogowanych], in addition, also accompanied by other abnormalities such as reduced vision or defect, visual distortion, dark spots, night blindness,[link widoczny dla zalogowanych], color blindness, double vision and other symptoms. 1.4 Statistical Methods SPSS16.0 general information on the data package of the two groups, the incidence of visual impairment were analyzed statistically. 2 results of both groups the incidence of visual impairment in Table 2. Table 2 Comparison of the two groups the incidence of visual impairment (for example) Note: = 38.61. p <O. 013 training measures and nursing intervention of a first eye trauma emergency nurses to find out first-aid emergency nurses thought 3.1.1 defect observed only pay attention to traumatic brain injury disease, limb trauma, internal organs and other major trauma combined injury that the eye injury is generally not fatal, as long as there is life, deal with eye injury can be slow, but actually a shift in consciousness as people, and improve the quality of life demands that they not only live but to be perfect, because other prehospital cause of blindness caused by improper medical disputes is one of the reasons. 3.1.2 knowledge of the weak eye. Ophthalmic emergency nurses available to work without experience, ophthalmic drugs, eye trauma treatment, little is known about the special requirements of ophthalmic eye washing and the intensity of oppression, such as washing, dressing and other knowledge is weak eye injury. 3.1.3 The lack of detailed observation of eye trauma, lack of knowledge of eye specialist when the patient appears the eyelids and eyelid bruising, trauma as a pupil only when the inspection and processing of open wounds, but ignored the eye and eye contents, wash the eye work, missed the early treatment of ocular trauma. 3.2 Training 3.2.1 Training time every Tuesday afternoon 5:30 ~ 7:00,1 weeks of theoretical study, watching for another week for the simulation exercise, alternating with each other, training for 2 months, and finally the theory test and operations assessment. 3.2.2 training theoretical knowledge of eye trauma, mechanical eye injury first aid, eyelids and ocular surface wound treatment. 3.2.3 operation, gentle movements, to avoid secondary damage caused by oppressive eye, eyeball rupture, perforation should not wash the wound, do not pressure bandage, depending on the condition given sedation, pain, bleeding, anti-infection drugs, timely injection of tetanus vaccine]. Comprehensive and thorough when washing, do not stay dead, washed at least 15min or more, if necessary, ask the doctor or the doctor cut the conjunctiva under the guidance of subconjunctival foreign body removal, avoid eye injury sustained J. 3.2.4 the content of training for psychological care are sudden ocular trauma, patients under great psychological blow, expressed as anxiety, fear, agitation, etc., and worry about the prognosis of vision, coupled with some non-medical staff trust, also contributed to the work of emergency medical reasons can not be carried out smoothly, so patients and their families for comfort and stability necessary to explain is an effective method in patients with mood, so that patients trust us, get the rescue cooperation. 4 Discussion, through training, more comprehensive and scientific manner, emergency department nurses to improve the level of emergency care, eye trauma nurses to fill the defect of thinking, from January 2007 to 7 months, 50 cases of ocular injuries in hospital patients pre-treatment, patients in the hospital to get the right, quick and efficient emergency care to maximize the prevention of complications, reduce patient morbidity, and ocular trauma patients correctly adverse psychological factors or their families to intervene, to treatment with to facilitate and improve the success rate and patient satisfaction.
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