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降阶梯思维护理在急诊创伤患者救治中的应用

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目的 观察降阶梯思维护理在急诊创伤患者中的应用效果.方法 选择急诊科 2021 年 1~12 月收治的 60 例创伤患者作为对照组,2022 年 1~12 月收治的 60 例创伤患者作为研究组.对照组给予常规护理,研究组行降阶梯思维的急救护理.比较 2 组患者分诊时间、首诊时间、ECG监测时间、静脉通路开放时间、气道清理时间、呼吸支持时间、检查完成时间、急诊抢救成功率、护理不良事件发生率、患者离开急诊时汉密尔顿焦虑量表和汉密尔顿抑郁量表评分.结果 研究组患者分诊时间、首诊时间、ECG监测时间、静脉通路开放时间、气道清理时间、呼吸支持时间、检查完成时间均低于对照组患者,差异均有统计学意义(P<0.05),研究组患者急诊抢救成功率高于对照组患者,护理不良事件发生率低于对照组患者(P<0.05);研究组患者汉密尔顿焦虑量表和汉密尔顿抑郁量表评分均低于对照组,差异均有统计学意义(P<0.05).结论 降阶梯思维护理可有效缩短创伤患者在急救过程中的护理完成时间,降低护理不良安全事件发生率,提高抢救成功率,改善急诊创伤患者焦虑、抑郁情绪.
Application of nursing interventions based on the de-escalation techniques to the treatment of emergency trauma patients
Objective To observe the application effects of nursing interventions based on the de-escalation techniques to the treatment of emergency trauma patients.Methods A total of 60 trauma patients admitted to the Emergency Department of our hospital from January 2021 to December 2021 were selected as the control group,and 60 trauma patients admitted from January 2022 to December 2022 were selected as the study group.Patients in control group were given conventional nursing,and those in the study group were given emergency nursing interventions based on the de-escalation techniques.The triage time,first diagnosis time,electrocardiography(ECG)monitoring time,venous access opening time,airway clearance time,respiratory support time,examination completion time,success rate of emergency rescue,incidence of nursing adverse events,the Hamilton Anxiety Rating Scale(HAM-A)and the Hamilton Depression Rating Scale(HDRS)scores graded when patients leaving ICU were compared between groups.Results There were significant difference in the triage time,first diagnosis time,ECG monitoring time,venous access opening time,airway clearance time,respiratory support time and examination completion time between groups(P<0.05).The success rate of emergency rescue in the study group was significantly higher than that of the control group,and the incidence of adverse nursing events in study group was significantly lower than that of the control group(P<0.05).The HAM-A and HDRS scores in study group were significantly lower than those of control group(P<0.05).Conclusion Nursing interventions based on the de-escalation techniques can effectively shorten the nursing completion time of emergency trauma patients,reduce the incidence of nursing adverse events,enhance the success rate of rescue,and alleviate the anxiety and depression emotions of trauma patients in emergency therapy.

traumaemergency treatmentde-escalation techniquesnursing

张丹丹、芮祖琴

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241000 安徽省芜湖市,安徽省皖南康复医院(芜湖市第五人民医院) 急诊科

241000 安徽省芜湖市,安徽省皖南康复医院(芜湖市第五人民医院)护理部

创伤 急救 降阶梯思维 护理

安徽省卫生健康委科研项目

AHWJ2021b149

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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