一体化护理干预对急诊严重创伤患者抢救的影响

目的 分析一体化护理干预在急诊严重创伤患者抢救的应用效果,完善一体化护理干预的方法,进一步提高护理质量,为以后的护理急诊抢救工作提供理论依据。 方法 选取绍兴市人民医院2014年4月-2015年8月收治的严重创伤患者,共计220例。按照入院时间的不同分为对照组和观察组各110例。2014年4-12月收治严重创伤患者为对照组,给予常规急诊护理;2015年1-8月收治的严重创伤患者为观察组,给予一体化护理干预。应用SPSS 17.0统计学软件,比较2组患者抢救反应时间、抢救治疗结果和转运途中的意外事件发生率的差异情况。 结果 经过不同的护理干预后,观察组患者抢救反应时间中急诊停留时间、特殊检查时间、急诊至手术时间和入院至手术时间分别为(6.86±2.08)min、(13.07±2.81)min、(7.01±1.57)min和(27.69±6.05)min,显著少于对照组,差异有统计学意义(P<0.01)。观察组患者抢救成功率为85.45%,显著高于对照组的63.64%,致残率、病死率和并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组意外事件发生率为2.73%,显著少于对照组的10.00%,差异有统计学意义(P<0.05)。 结论 一体化护理干预能够有效地缩短患者抢救反应时间,改善抢救治疗结果,减少转运途中的不良事件,值得临床推广。 

Effect of comprehensive nursing intervention on emergency treatment of severe trauma patients in emergency department

Objective To analyze the clinical effect of comprehensive nursing intervention in the rescue of patients with severe trauma,refine the comprehensive nursing intervention methodology and improve nursing quality,thus to provide evidence in future emergency rescue work. Methods A total of 220 newly admitted severe trauma patients in our hospital between April,2014 to August,2015 was divided into the control group and the observation group according to the time of admission,110 patients in each group.Altogether 110 patients with severe trauma treated from April,2014 to December,2014 were treated as control group,which got routine emergency care;another 110 patients with severe trauma treated from January,2015 to August,2015 were treated as observation group,which got comprehensive nursing intervention.With SPSS 17.0 software,we analyzed and compared the rescue reaction time,the rescue treatment outcome and adverse events in the transshipment en route between the two groups. Results After different nursing intervention,observation group patients presenting to the emergency department with retention time,special inspection time,to the emergency operation time and admission to operation time,respectively (6.86±2.08) min,(13.07±2.81) min,(7.01±1.57) min and (27.69±6.05) min,which were significantly shorter than that of the control group,and the difference was significant (P<0.01).The rate of successful rescuing achieved 90% in the observation group,higher than that of the control group (63.64%),and disability rate,mortality and complication rates were significantly lower than those in the control group,with a significant difference (P<0.05).The adverse events in the transshipment en route of the observation group was 3.64%,which was significantly less than that of the control group 9.09%,and the difference was statistically significant (P<0.05). Conclusion Comprehensive nursing intervention can significantly shorten the rescue reaction time,improve the rescue treatment outcome,and reduce adverse events in the transshipment en route,thus it is worthy of clinical promotion.