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基于MDT的急救护理路径应用于重度烧伤患者急救中的效果

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目的:探讨基于多学科综合治疗(MDT)的急救护理路径应用于重度烧伤患者急救中的效果。方法:选择2021 年 5 月—2023 年 6 月于徐州市中心医院就诊的 121 例重度烧伤患者作为研究对象。将 2021 年 5 月—2022 年 5 月收治的60例重度烧伤患者纳入对照组,接受常规急救方案干预。将2022年6月—2023年6月收治的61例重度烧伤患者纳入观察组,接受基于MDT的急救护理路径干预。比较两组抢救时效、恢复情况、生活质量及并发症发生情况。结果:观察组急诊检查用时、会诊医师到场用时、急诊清创用时、创面愈合时间、ICU治疗时间、住院时间均短于对照组,差异有统计学意义(P<0。05)。出院前,两组简明健康状况量表(SF-36)各项评分均高于入院时,且观察组各项评分均高于对照组,差异有统计学意义(P<0。05)。观察组并发症发生率为 4。92%,低于对照组的 16。67%,差异有统计学意义(P<0。05)。结论:采用基于MDT的急救护理路径对重度烧伤患者进行护理可以有效提高抢救时效,促进创面恢复,缩短治疗时间,改善生活质量,减少并发症的发生。
Effect of Emergency Nursing Pathway Based on MDT in the First Aid of Severe Burn Patients
Objective:To explore the effect of emergency nursing pathway based on multi-disciplinary treatment(MDT)in the first aid of severe burn patients.Method:A total of 121 patients with severe burn who treated in Xuzhou Central Hospital from May 2021 to June 2023 were selected as the study objects.Sixty patients with severe burn treated from May 2021 to May 2022 were included in the control group and received routine emergency treatment.Sixty-one patients with severe burn treated from June 2022 to June 2023 were included in the observation group and received emergency nursing pathway based on MDT intervention.The rescue time,recovery,quality of life and complications were compared between the two groups.Result:The time of emergency examination,the time of arrival of the consultant,the time of emergency debridement,the time of wound healing,the time of ICU treatment and the time of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Before discharge,all dimensions scores of the MOS item short from health survey(SF-36)in both groups were higher than those at admission,and all scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.92%,which was lower than 16.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Emergency nursing pathway based on MDT in the first aid of severe burn patients can effectively improve rescue time,promote wound recovery,shorten treatment time,improve quality of life and reduce complications.

Severe burnMulti-disciplinary treatmentEmergency nursing path wayRescue time

尹彤、周天龙

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徐州市中心医院 江苏 徐州 221000

重度烧伤 多学科团队 急救护理路径 抢救时效

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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