首页|无缝衔接一体化急救护理对严重创伤患者急救效率及预后的影响

无缝衔接一体化急救护理对严重创伤患者急救效率及预后的影响

扫码查看
目的 分析无缝衔接一体化急救护理用于严重创伤患者对其急救效果和预后的影响。方法 纳入选取在 2020年 12 月至 2022 年 12 月期间鹤壁煤业(集团)有限责任公司总医院收治的 82 例严重创伤患者,经随机数字表法将其中 41 例划分到对照组(提供常规急救护理),余下 41 例划分至观察组(予以无缝衔接一体化急救护理),比较两组急救效率指标,急救效果,并发症,苏醒时和离院时的神经功能缺损量表(NIHSS)及日常生活能力量表(ADL)得分,急救满意度。结果 观察组的急救效率指标(急救、辅助检查、会诊、就诊到手术、有效救治用时)均短于对照组,差异有统计学意义(P<0。05)。观察组抢救成功率(97。56%)高于对照组(82。93%),差异有统计学意义(P<0。05);观察组抢救失败率(2。44%)低于对照组(17。07%),差异有统计学意义(P<0。05)。观察组并发症发生率(2。44%)低于对照组(17。07%),差异有统计学意义(P<0。05)。苏醒时,两组在神经功能缺损量表(NIHSS)及日常生活能力量表(ADL)得分方面比较,差异无统计学意义(P>0。05);离院时,两组在NIHSS得分方面均较苏醒时降低,在ADL得分方面均较苏醒时升高,且观察组在NIHSS得分方面低于对照组,在ADL得分方面高于对照组,差异有统计学意义(P<0。05)。观察组在急救满意率(97。56%)高于对照组(80。49%),差异有统计学意义(P<0。05)。结论 无缝衔接一体化急救护理用于严重创伤患者能提升其急救效率及效果,减轻其神经功能受损,提高其日常生活能力和急救满意度,减少并发症发生情况,改善其预后。
Effect of seamless Integration of Emergency Nursing on the Efficiency and Prognosis of Emergency Treatment for Patients with severe Trauma
Objective To analyze the impact of seamless integration of emergency nursing on the emergency effectiveness and prognosis of severely injured patients.Methods A total of 82 severe trauma patients admitted to the General Hospital of Hebi Coal Industry(Group)Co,Ltd.between December 2020 and December 2022 were included in the selection.41 of them were randomly assigned to the control group(providing routine emergency nursing)using a random number table method,and the remaining 41 were assigned to the observation group(providing seamless integration of emergency nursing).The emergency efficiency indicators,emergency effects,and complications of the two groups were compared,the national institutes of health stroke scale(NIHSS)and daily living ability scale(ADL)scores at awakening and discharge,as well as satisfaction with emergency treatment were compared.Results The emergency efficiency indicators(first aid,auxiliary examination,consultation,visit to surgery,effective treatment time)of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05).The success rate of rescue in the observation group(97.56%)was higher than that in the control group(82.93%),and the difference was statistically significant(P<0.05);The failure rate of rescue in the observation group(2.44%)was lower than that in the control group(17.07%),and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(2.44%)was lower than that in the control group(17.07%),and the difference was statistically significant(P<0.05).When awake,there was no statistically significant difference(P>0.05)between the two groups in terms of scores on the NIHSS scores and the activities of daily living scale(ADL);When leaving the hospital,both groups showed a decrease in NIHSS scores compared to the awakening period,and an increase in ADL scores compared to the awakening period.The observation group had a lower NIHSS score than that in the control group,and a higher ADL score than that in the control group,with a statistically significant difference(P<0.05).The satisfaction rate of emergency treatment in the observation group(97.56%)was higher than that in the control group(80.49%),and the difference was statistically significant(P<0.05).Conclusion Seamless integration of emergency nursing for severely injured patients can improve their emergency efficiency and effectiveness,reduce neurological damage,improve their daily living ability and satisfaction with emergency treatment,reduce the occurrence of complications,and improve their prognosis.

severe traumaseamless integration of emergency nursingemergency efficiencyprognosis

周琼玉

展开 >

鹤壁煤业(集团)有限责任公司总医院 重症医学科,河南 鹤壁 458000

严重创伤 无缝衔接一体化急救护理 急救效率 预后

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
  • 19