首页|基于创伤中心建设优化急诊护理流程对重症创伤患者的救治效果研究

基于创伤中心建设优化急诊护理流程对重症创伤患者的救治效果研究

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目的:探讨基于创伤中心建设优化急诊护理流程对重症创伤患者的救治效果。方法:选取 2021年 1月—2022年 11月天津医科大学第二医院急诊科收治的 99例重症创伤患者为研究对象,随机分为对照组(n=48)与观察组(n=51)。对照组实施常规急诊护理流程,观察组实施基于创伤中心建设优化急诊护理流程。比较两组患者的救治相关指标、护理不良事件发生情况、并发症发生情况及意识状态。结果:观察组的分诊评估时间、进入抢救室时间、给药时间、CT结果回报时间均短于对照组,差异均有统计学意义(P<0。05)。观察组救治过程中的护理不良事件发生率为 5。88%,低于对照组的 29。17%,差异有统计学意义(P<0。05)。观察组的并发症发生率为 5。88%,低于对照组的 25。00%,差异有统计学意义(P<0。05)。观察组救治 72 h后的格拉斯哥昏迷评分(GCS)高于对照组,差异有统计学意义(P<0。05)。结论:基于创伤中心建设优化急诊护理流程能缩短重症创伤患者的救治时间,降低护理不良事件及并发症的发生率,提高患者GCS评分。
Research on the Therapeutic Effect of Optimizing Emergency Nursing Processes Based on the Construction of Trauma Centers on Patients with Severe Trauma
Objective:To explore the effect of optimizing emergency nursing processes based on the construction of trauma centers in the treatment of severe trauma patients.Methods:A total of 99 patients with severe trauma admitted to the Emergency Department of the Second Hospital of Tianjin Medical University from January 2021 to November 2022 were selected as the study objects,and were randomly divided into a control group(n=48)and an observation group(n=51).The control group implemented routine emergency nursing process,and the observation group implemented optimizing emergency nursing processes based on the construction of trauma centers.The indexes related to treatment,incidence of nursing adverse events,incidence of complications and state of consciousress were compared between the two groups.Results:The triage evaluation time,the time of entering the emergency room,the time of administration and the return time of CT results in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse nursing events during treatment in the observation group was 5.88%,which was lower than 29.17%in the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group was 5.88%,which was lower than 25.00%of the control group,the difference was statistically significant(P<0.05).The Glasgow Coma Score(GCS)72 h after treatment of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Optimizing emergency nursing processes based on the construction of trauma centers can shorten the treatment time of severe trauma patients,reduce the incidence of nursing adverse events and complications,and improve the GCS of patients.

Severe traumaTrauma centerOptimizing emergency nursing processesNursing adverse eventsComplicationsTreatment time

吴春燕、魏云欣、杨曦

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天津医科大学第二医院急诊科,天津 300211

重症创伤 创伤中心 优化急诊护理流程 护理不良事件 并发症 救治时间

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)