| 危机管理模式结合传统外伤急救护理对急诊颅脑外伤患者的应用效果 |
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| 引用本文： | 陈美芳,吴月峰,黄春华. 危机管理模式结合传统外伤急救护理对急诊颅脑外伤患者的应用效果[J]. 中华全科医学, 2019, 17(4): 693-695. DOI: 10.16766/j.cnki.issn.1674-4152.000769 |
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| 作者姓名： | 陈美芳 吴月峰 黄春华 |
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| 作者单位： | 绍兴市人民医院急诊科, 浙江 绍兴 312000 |
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| 基金项目： | 浙江省医药卫生科技计划项目(2017RC028) |
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| 摘 要： | 目的探究危机管理模式与传统外伤急救护理相结合对急诊颅脑损伤患者的应用效果。方法选择2017年2月—2018年9月绍兴市人民医院收治的90例急诊颅脑外伤患者,按照随机数字表法将其分为观察组和对照组各45例。对照组患者应用传统外伤急救护理,观察组患者在对照组的基础上结合危机管理模式。比较2组患者并发症发生率、护理期间不良事件发生率、神经功能(脑卒中量表,NIHSS评分)及昏迷程度(格拉斯哥昏迷指数,GCS评分)。结果 2组患者均无严重并发症(脑疝)的发生,观察组患者并发症包括肢体功能障碍、吞咽功能障碍、肺部感染及电解质紊乱的总发生率为4.4%(2/45),低于对照组患者的17.8%(8/45),差异有统计学意义(P<0.05);观察组患者护理期间不良事件发生率为8.9%,低于对照组患者的24.4%(P<0.05);护理干预前,2组患者NIHSS评分及GCS评分比较差异无统计学意义(P>0.05),护理后,观察组患者NIHSS评分明显低于对照组,且观察组患者GCS评分高于对照组(P<0.05)。结论危机管理模式结合传统外伤急救护理有利于提高急诊颅脑损伤患者急救效率,减少患者并发症的发生,且提高患者神经功能,减少护理期间不良事件的发生率。
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| 关 键 词： | 危机管理模式 传统外伤急救 急诊 颅脑外伤 |
| 收稿时间： | 2018-12-02 |
Application effect of crisis management mode combined with traditional trauma emergency care on patients with emergency craniocerebral trauma |
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| CHEN Mei-fang,Wu Yue-feng,HUANG Chun-hua. Application effect of crisis management mode combined with traditional trauma emergency care on patients with emergency craniocerebral trauma[J]. Applied Journal Of General Practice, 2019, 17(4): 693-695. DOI: 10.16766/j.cnki.issn.1674-4152.000769 |
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| Authors: | CHEN Mei-fang Wu Yue-feng HUANG Chun-hua |
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| Affiliation: | Department of Emergency, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, China |
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| Abstract: | Objective To explore the application effect of crisis management mode combined with traditional trauma emergency care on patients with emergency craniocerebral injury. Methods Ninety patients with emergency craniocerebral trauma admitted from February 2017 to September 2018 were randomly divided into observation group and control group, with 45 cases in each group. The patients in the control group were treated with traditional trauma emergency care, and the patients in the observation group were combined with the crisis management model based on the control group. Complication rate, incidence of adverse events during nursing, neurological function (stroke scale, NIHSS score) and coma degree (Glasgow coma index, GCS score) were compared between the two groups. Results There were no serious complications (cerebral hernia) in both groups. The total incidence of complications including limb dysfunction, swallowing dysfunction, pulmonary infection and electrolyte disturbance in the observation group was 4.4%(2/45), which was lower than that in the control group (17.8%, 8/45), P<0.05. The incidence of crisis events in the observation group was 8.9% lower than that in the control group (24.4%, P<0.05); there was no significant difference in NIHSS score and GCS score between the two groups before nursing intervention (P>0.05). After nursing, the NIHSS score of the patients in the observation group was significantly lower than that of the control group, and the GCS score of the patients in the observation group was higher than that of the control group(P<0.05). Conclusion Crisis management mode combined with traditional trauma first aid nursing is conducive to improving the first aid efficiency of emergency patients with craniocerebral injury, reducing the occurrence of complications, and improving patients' nervous function, and reducing the incidence of adverse events during nursing, which is worthy of clinical application. |
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| Keywords: | Crisis management model Traditional trauma first aid Emergency department Craniocerebral trauma |
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