优化急救护理流程对重症颅脑外伤急诊手术患者的救治影响分析

目的探讨优化急救护理流程对重症颅脑外伤急诊手术患者临床救治效果的影响。方法选择2016年1月～2019年1月接收的重症颅脑外伤且需行相应急诊手术治疗的患者72例,随机分为传统组与研究组。传统组患者给予常规性急诊手术护理,研究组并在此护理基础上实施急救护理流程优化护理方案。比较两组患者的急救相关指标院前急救耗时、院内急救耗时、住院耗时、病情危重预警评分(MEWS)]、急救成功率以及术后不良风险事件发生率与患者对临床医护工作的认可度。结果研究组患者经护理后的急救成功率(100.00%)以及术后不良风险事件总发生率(5.56%)与对临床医护工作的总认可度(97.22%)均显著优于传统组患者的急救成功率(88.89%)以及术后不良风险事件总发生率(22.22%)与对临床医护工作的总认可度(80.56%),差异具有统计学意义(P0.05)。研究组患者亦在院前急救耗时、院内急救耗时以及MEWS评分等一系列急救相关指标中均优于传统组(P0.05)。结论在给予重症颅脑外伤急诊手术患者常规性急诊手术护理的同时对其进行急救护理流程优化,不仅能够在有效减少院前与院内急救耗时的基础上进一步提高急救成功率,且还可最小化术后不良风险事件发生率,有利于提高患者对临床医护工作的认可度,构建良好护患关系,从而不断优化急诊手术预后效果。

Analysis on the effect of optimizing emergency nursing procedure on the rescue and treatment of patients with severe craniocerebral trauma receiving emergency surgery

Objective To explore the effect of optimizing emergency nursing procedure on the clinical rescue and treatment of patients with severe craniocerebral trauma receiving emergency surgery.Methods A total of 72 patients with severe craniocerebral trauma who were in need of corresponding emergency surgery from January 2016 to January 2019 were selected and randomly divided into the traditional group and the study group.Patients in the traditional group were given routine emergency surgery nursing care.The study group was further given optimized nursing protocol for emergency nursing procedure on the basis of the nursing received by the control group.The emergency rescue-related indicators pre-hospital emergency rescue time,in-hospital emergency rescue time,length of stay,modified early warning score (MEWS)],the success rate of rescue,the incidence rate of postoperative adverse risk events and the patient''s acceptance of clinical nursing care work were compared between the two groups.Results The success rate of emergency rescue after nursing care(100.00%),the total incidence rate of postoperative adverse risk events(5.56%),and the total acceptance of clinical nursing care work (97.22%) in the study group were significantly better than the success rate of emergency rescue(88.89%),the total incidence rate of postoperative adverse risk events(22.22%),and the total acceptance of clinical nursing care work(80.56%) in the traditional group,and the differences were statistically significant(P<0.05).Patients in the study group were also superior to the traditional group in a series of emergency rescue-related indicators such as pre-hospital emergency rescue time,in-hospital emergency rescue time and MEWS(P<0.05).Conclusion Optimized emergency nursing procedure on the basis of conventional emergency surgery nursing care for the patients with severe craniocerebral trauma receiving emergency surgery can not only effective reduce pre-hospital and inhospital emergency rescue time,but also further improve the success rate of emergency rescue.It can also minimize the incidence rate of postoperative adverse risk events,help to improve the patient''s recognition and acceptance of clinical nursing care work,and build a good relationship between nurses and patients,so as to continuously optimize the prognostic effect of emergency surgery.