改良伤票在院内小组式救治成批伤员中的应用研究  

Applied Research of Treatment of Wounded in Batches of Group Improved Triage in the Hospital

作　　者：张文媛[1] 翟光维[1] 周丽红[1] 杨作勤[1] 

机构地区：[1]安徽省马鞍山市中心医院护理部,马鞍山243000

出　　处：《临床护理杂志》2013年第6期6-9,共4页Journal of Clinical Nursing

摘　　要：目的：探讨改良伤票在院内小组式救治成批伤员中的应用效果。方法选择我院急诊中心2007年7月～2012年12月救治的15起突发公共事件84例，将2007年7月～2009年1月应用常规急诊流程救治的8起成批伤员41例作为对照组，2010年11月～2012年12月应用自制改良伤票小组式救治的7起成批伤员43例作为观察组。比较两组分诊时间、平均救治时间、身份识别错误率及医护人员满意率。结果观察组分诊时间为31．63±2．35s ，平均救治时间A区29．50±13．60min、B区34．00±12．84min、C区31．11±12．87min ，明显低于对照组分诊时间62．91±4．75s ，平均救治时间 A 区65．17±20．44min、B区58．50±7．31min、C区51．38±13．96min ，两组比较有显著性差异（t分别为3．274、5．034、4．871、4．760；P＜0．05）。观察组身份识别错误率4．65％，对照组24．39％，两组比较有显著性差异（χ2＝6．678，P＜0．05）。观察组医护人员满意率93．02％，对照组75．60％，两组比较有显著性差异（χ2＝4．865，P＜0．05）。结论在成批伤员救治中应用改良伤票快速分诊，实施分区小组式救治，能迅速建立良好的救治秩序，减少患者身份识别错误率，缩短抢救时间，有效提高成批伤员救治效率。Objective To explore the effect of modified triage in the group type treatment of mass casualties in the hospi-tal .Methods The 84 patients who were cured in sudden public events from 2007 to 2012 divided into control group and ob-servation group according to the time sequence .For the patients in the control group treat them with conventional emergency procedure ,and with modified triage team for the observation group .And compared triage time ,average treatment time ,the identification error rate and the medical staff satisfaction rate of patients in two groups .Results The triage time in observa-tion group was （31 .63 ± 2 .35） seconds .The average treatment time was A （29 .50 ± 13 .60） ,B（34 .00 ± 12 .84） ,C（31 .11 ± 12 .87） ,it＇s significantly lower than in the control group of triage time （62 .91 ± 4 .75） seconds ,the average treatment time （A area 65 .17 ± 20 .44） ,B（58 .50 ± 7 .31） ,C（51 .38 ± 13 .96） .There was statistically significant difference between groups （t were 3 .274 ,5 .034 ,4 .871 ,4 .760 ;P〈0 .05） .The identity recognition error rate in observation group was 4 .65% ,while 24 .39% in the control group ,there was statistically significant difference between groups （χ2 =6 .678 ,P〈0 .05） .The ob-servation group staff satisfaction rate of 93 .02% ,75 .60% in the control group ,there was statistically significant difference between groups （χ2 =4 .865 ,P〈0 .05） .Conclusion Application of modified triage in batches of the wounded in rapid tri-age ,zoning of group treatment ,can quickly establish the treatment with good order ,reduce the identification error rate of patients ,shorten the rescue time ,effectively improve the wounded treatment efficiency .

关 键 词：伤票 伤员 急救 

分 类 号：R641[医药卫生—外科学] R459.7[医药卫生—临床医学]