The Effect of MDT Collaborative Nursing Combined with Restrictive Fluid Resuscitation on Emergency Rescue of Patients with Traumatic Hemorrhagic Shock
Objective To explore the effect of multidisciplinary team(MDT)collaborative nursing combined with restrictive fluid resuscitation on the emergency rescue of patients with traumatic hemorrhagic shock.Methods A total of 104 patients with traumatic hemorrhagic shock admitted to Xuchang Longhu Hospital from February 2021 to February 2023 were randomly divided into a control group(restrictive fluid resuscitation)and an observation group(MDT collaborative nursing combined with restrictive fluid resuscitation),with 52 cases in each group.The rescue efficiency,blood gas indicators,coagulation function,prognosis,transport time,and nursing satisfaction scores were compared between the two groups.Results The emergency rescue time,emergency examination time,and physician arrival time in the observation group were shorter than those in the control group,with statistically significant differences(P＜0.05).The arterial oxygen partial pressure(PaO2)and base excess(BE)levels in the observation group were higher than those in the control group,while the carbon dioxide partial pressure(PaCO2)and blood lactate(BL)levels were lower than those in the control group,with statistically significant differences(P＜0.05).The prothrombin time(PT),activated partial thromboplastin time(APTT),and thrombin time(TT)in the observation group were lower than those in the control group,with statistically significant differences(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,with statistically significant differences(P＜0.05).The transport time in the observation group was shorter than that in the control group,and the nursing satisfaction scores were higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion The application of MDT collaborative nursing combined with restrictive fluid resuscitation in patients with traumatic hemorrhagic shock can improve the success rate of rescue,improve blood gas indicators,have a smaller impact on coagulation function,shorten transport time,and improve nursing satisfaction scores.
multidisciplinary team collaborative nursingrestrictive fluid resuscitationtraumatic hemorrhagic shockemergency rescue effect
万方数据
维普
