摘要
目的 分析对骨盆骨折合并大出血患者实施急诊链式流程护理的临床价值.方法 回顾性分析2022年5月至2024年5月本院收治的98例骨盆骨折大出血患者的临床资料,根据急诊护理模式的差异,分为观察组(急诊链式流程护理)和对照组(急诊常规护理),每组各49例.对比两组患者的急救效率、急救成功率和护理满意度.结果 观察组患者在一般判断所需时间(t=5.750,P<0.001)、生命体征判断所需时间(t=15.318,P<0.001)、生命支持抢救所需时间(t=6.352,P<0.001)、诊断所需时间(t=6.258,P<0.001)、抢救所需时间(t=5.734,P<0.001)上均显著短于对照组.观察组中46例患者抢救成功,急救成功率为93.88％,显著高于对照组中35例患者抢救成功,急救成功率为71.43％(2=8.611,P=0.003).观察组患者对护理流程的合理性(t=3.287,P=0.001)、护士的急救技术(t=3.086,P=0.001)、护士的应急反应能力(t=3.237,P=0.001)三个方面的满意度评分均显著高于对照组.结论 急诊链式流程护理可显著提高骨盆骨折合并大出血患者的抢救效率、抢救成功率及护理满意度.
Abstract
Objective To analyze the clinical value of implementing a chain-based emergency care process for patients with pelvic fractures complicated by massive hemorrhage. Methods A retrospective analysis was conducted on the clinical data of 98 patients with pelvic fractures and massive hemorrhage treated at our hospital from May 2022 to May 2024. Patients were divided into an observation group (chain-based emergency care process,n=49) and a control group (conventional emergency care,n=49) based on differences in emergency nursing mod-els. The efficiency of emergency care,success rate of resuscitation,and nursing satisfaction were compared between the two groups. Results The observation group had significantly shorter times for general assessment (t=5.750,P<0.001),vital signs assessment (t=15.318,P<0.001),life support resuscitation (t=6.352,P<0.001),diagnostic pro-cedures (t=6.258,P<0.001),and overall resuscitation (t=5.734,P<0.001) compared to the control group. The suc-cess rate of resuscitation was significantly higher in the observation group,with 46 patients successfully resuscitated (93.88％ ) compared to 35 patients in the control group (71.43％ ),2=8.611,P=0.003. The observation group also scored significantly higher in satisfaction with the rationality of the nursing process (t=3.287,P=0.001),nurses' emer-gency skills (t=3.086,P=0.001),and nurses' emergency response abilities (t=3.237,P=0.001) compared to the control group. Conclusion The chain-based emergency care process significantly improves the efficiency of resuscitation,success rate,and nursing satisfaction for patients with pelvic fractures complicated by massive hemorrhage.
维普
万方数据