精细化管理在急诊护理管理中的应用效果

目的 探讨精细化管理在急诊护理管理中的应用效果。方法 选择2016年3月~2018年3月我院急诊科收治的危重患者84例作为研究对象，随机分为对照组与研究组，各42例，对照组给予常规急诊护理管理，研究组在对照组基础上给予精细化护理管理，比较两组护理人员护理操作评分、患者对护理人员的满意度评分、接诊时间、抢救总时间、意外事件发生率及死亡率。结果 研究组护理操作考核评分、患者对护理人员的满意度评分分别为（94.37±1.84）分、（96.84±2.08）分，高于对照组的（81.24±1.27）分、（83.21±2.21）分，差异有统计学意义（P＜0.05）；研究组接诊时间、抢救总时间、意外事件发生率及死亡率分别为（1.52±0.52）min、（34.81±2.14）min、2.38%、0，均优于对照组的（3.85±1.89）min、（44.27±4.38）min、19.05%、16.67%，差异有统计学意义（P＜0.05）。结论 相比传统急诊护理管理，精细化护理管理能够有效缩短接诊时间，提高护理满意度，降低意外事件的发生率及患者临床死亡率。

Application Effect of Refined Management in Emergency Nursing Management

Objective To explore the effect of fine management in emergency nursing management.Methods A total of 84 critically ill patients admitted to the emergency department of our hospital from March 2016 to March 2018 were selected as the research objects and randomly divided into a control group and a research group, with 42 patients in each group. The control group was given routine emergency care management. On the basis of the group, refined nursing management was given, and the nursing operation scores, patient satisfaction scores, nursing time, total rescue time, accident rate and mortality were compared between the two groups.Results The nursing operation assessment score and patient satisfaction score of the study group were (94.37±1.84) and (96.84±2.08) respectively, which were higher than the control group (81.24±1.27) and (83.21±2.21),the difference was statistically significant (P<0.05); the study group’s admission time, total rescue time, accident rate and mortality were (1.52±0.52) min, (34.81±2.14) min, 2.38%, 0, all (3.85±1.89) min, (44.27±4.38) min, 19.05%, 16.67% were better than the control group,the differences were statistically significant (P<0.05).Conclusion Compared with traditional emergency nursing management, refined nursing management can effectively shorten the time of admission, improve nursing satisfaction, and reduce the incidence of accidents and clinical mortality of patients.