全程优化护理在颅脑损伤患者急救中的应用价值  

Application value of whole optimization of emergency nursing to patients with craniocerebral injury

作　　者：夏莹[1] 关柏秋[1] 王翠丽[1] 贾锋[2] 

机构地区：[1]吉化集团公司总医院,吉林吉林132022 [2]上海交通大学医学院附属仁济医院神经外科,上海200025

出　　处：《中国医药导报》2013年第26期140-142,共3页China Medical Herald

基　　金：国家自然科学基金项目(编号81000829)

摘　　要：目的 探讨全程优化护理在颅脑损伤患者急救中的应用价值及探索规范化的急救护理路径.方法 选择吉化集团公司总医院2009年1月～2013年1月收治的外伤性重型颅脑损伤患者120例,根据有无实施全程优化护理分为观察组和对照组,每组各60例,对照组患者给予一般常规护理,观察组患者则给予接诊优化、救护优化、转运交接优化、人员配置优化等的全程优化护理,比较两组患者急救时间、住院时间、患者对护理服务的满意度和预后情况.结果 观察组患者平均急救时间为（18.9±6.3）min和住院时间为（14.7±7.1）d,均显著低于对照组的（38.3±8.1）min、（27.4±6.8）d,差异有统计学意义（P＜0.05）;观察组患者对护理服务的满意度为100.0％明显优于对照组的68.3％,差异有统计学意义（P＜0.05）,观察组患者的预后情况（良好73.3％、中残13.3％、重残5.0％、植物状态1.7％、死亡6.7％）与对照组的51.7％、16.6％、10.0％、5.0％、16.7％比较,差异有统计学意义（P＜0.05）.结论 全程优化护理能够显著缩短外伤性重型颅脑损伤患者住院时间和急救时间,提高护理质量和患者对护理服务的满意度,提高患者的生存率与生存质量,改善患者预后,值得推广.Objective To investigate the application value of whole optimization of emergency nursing to patients with craniocerebral injury and to explore the normalized emergency care paths. Methods 120 cases of traumatic severe head injury patients in General Hospital of CNPC in Jilin from January 2009 to January 2013 were selected and divid- ed into observation group and control group with 60 cases in each group according to the application of whole opti- mization of nursing; patients in control group were only given general routine nursing, while patients in observation group were given the whole optimization of nursing of accepts optimization, ambulance optimization, transfer optimiza- tion, staffing optimization and so on; the emergency time, length of stay, patients＇ satisfaction to nursing services and prognosis of patients in two groups were compared. Results The mean time to first aid of patients in observation group was （18.9±6.3） min and the length of stay were （14.7±7.1） d, which were both lower than those in control group [（38.3±8.1） min, （27.4±6.8） d], the differences were statistically significant （P 〈 0.05）; patients＇ satisfaction to nursing service in observation group was 100.0%, which was better than that in control group （68.3%）, the differences were statistically significant （P 〈 0.05）; the prognosis of patients in observation group （well 73.3%, medium disability 13.3%, serious disability 5.0%, persistent vegetative state 1.7%, death 6.7%） were found had statistically significant differ- ences with control group （51.7%, 16.6%, 10.0%, 5.0%, 16.7%） （P 〈 0.05）. Conclusion The whole optimization of nurs- ing can significantly shorten the length of stay and emergency time to patients with traumatic severe head injury, im- prove the quality of nursing and patients＇ satisfaction to nursing services, improve the patients＇ survival rate and living quality, improve the prognosis of patients, it is worthy of promotion.

关 键 词：全程优化护理 颅脑损伤 护理质量 价值 

分 类 号：R473.6[医药卫生—护理学]