摘要
目的 基于公共卫生管理视角评价规范化院前急救策略在多发性创伤患者救治中的应用效果,为提升公共卫生应急响应能力提供实践参考.方法 采用简单随机抽样的方法,选取2021年6月—2023年12月浙江省浦江县中医院急诊科接诊的140例多发性创伤患者为研究对象.采用随机数表法分为对照组与观察组,每组各70例.对照组患者实施常规院前急救策略,观察组患者实施规范化院前急救策略.结果 观察组在医护人员到位、分诊、药物应用、制订治疗方案、手术谈话、开展急诊手术等环节的时间均短于对照组(t=5.552、8.020、7.199、6.717、8.904、3.468,P＜0.05);观察组患者抢救成功率高于对照组(x2=5.892、P＜0.05),家属急救满意度高于对照组(x2=9.180,P＜0.05).结论 规范化院前急救策略可缩短多发性创伤患者院前急救时间,提高抢救成功率及家属满意度,从而提升公共卫生应急响应能力.
Abstract
Objective Based on the perspective of public health management,the application effect of standardized pre-hospital first aid strategy in the treatment of multiple trauma patients was evaluated to provide practical reference for improving the emergency response ability of public health.Methods A total of 140 patients with multiple trauma admitted to the emergency department of Pujiang County Hospital of Traditional Chinese Medicine in Zhejiang Province from June 2021 to December 2023 were selected as the study objects by simple random sampling.The group was divided into control group and observation group with 70 cases in each group.Patients in the control group were implemented the conventional pre-hospital emergency strategy,and patients in the observation were group implemented the standardized pre-hospital emergency strategy.Results The time of medical personnel arrival,triage,drug application,treatment plan formulation,surgical talk and emergency operation in the observation group were shorter than that in the control group(t=5.552,8.020,8.206,7.199,8.398,6.977,6.717,8.904,3.468,P＜0.05).The success rate of rescue in the observation group was higher than that in the control group(x2=5.892,P＜0.05),and the satisfaction of emergency patients'families was higher than that in the control group(x2=9.180,P＜0.05).Conclusion The standardized pre-hospital emergency strategy can shorten the pre-hospital emergency time of multiple trauma patients,improve the success rate of rescue and family satisfaction,and thus improve the public health emergency response ability.
维普
万方数据