急诊护理流程优化对急诊患者急救效果及护理满意度的影响  

Impact of optimization of emergency nursing process on the first aid effect and nursing satisfaction degree of emergency patients

作　　者：龚敏[1] 高虹[2] 

机构地区：[1]双流县第一人民医院急诊科,四川双流610200 [2]四川省人民医院胸外科,四川成都610072

出　　处：《中国临床研究》2015年第9期1248-1251,共4页Chinese Journal of Clinical Research

基　　金：2010年四川卫生厅科研项目(100535)

摘　　要：目的研究急诊护理流程优化对急诊患者急救效果及护理满意度的影响,探究其临床适用性。方法选择从2012年4月至2014年1月接受治疗的140例突发重症疾病患者作为研究病例,简单随机分为研究组和对照组两组,每组70例。对照组患者采用常规护理,研究组患者采用优化流程急诊护理。观察两组患者急诊的一般情况及护理服务质量评分情况;比较两组患者的抢救成功率、并发症发生率、复发率及护理满意度。结果研究组患者的接诊时间、分诊时间、转诊时间、静脉采血时间、静脉用药时间、心电监护时间均显著低于对照组(P<0.05,P<0.01);研究组患者失眠、排尿困难、腰酸背痛、穿刺点出血等并发症发生率均显著低于对照组(P<0.05,P<0.01);研究组患者的抢救成功率明显高于对照组(P<0.05),复发率明显低于对照组(P<0.01);研究组患者护理质量评分的各项指标以及护理满意度显著高于对照组(P均<0.01)。结论急诊护理流程优化对急诊患者急救效果显著,护理满意度高,复发率低,并发症少,抢救成功率高。Objective To study the impact of emergency nursing process optimization on the first aid effect and nursing satisfaction degree of emergency patients and explore its clinical applicability. Methods One hundred and forty patients with sudden severe diseases treated in our hospital from April 2012 to January 2014 were enrolled in the study, and ran- domly divided into observation group （ n = 70） and control group （ n = 70 ）. The patients in observation group were treated with emergency nursing process optimization, and the patients in control group were treated with routine nursing. The general situation of emergency patients and nursing quality scoring in two groups were observed. The rescue success rate, complica- tion rate,recurrence rate and nursing satisfaction degree between two groups were compared. Results Compared with con- trol group, the times for reception, triage, referral, venous blood sampling, intravenous medication, ECG monitoring in obser- vation group were all significantly shorter （ P 〈 0.05, P 〈 O. O1 ）. The complication rates of insomnia, difficulty urinating, back pain, puncture site bleeding were significantly lower than those in control group （ P 〈 O. 05, P 〈 O. 01 ）. The rescue suc- cess rate of observation group was significantly higher than that of control group （ P 〈 0.05 ） , and the recurrence rate of ob- servation group was significantly lower than that of control group （P 〈 0.01 ）. The indicators of nursing quality scoring and satisfaction degrees in observation group were significantly better than those in control group （ all P 〈 0. 05 ）. Conclusions Emergency nursing process optimization has the advantages of obvious first aid effect, higher nursing satisfaction degree, lower recurrence rate, fewer complications, higher rescue success rate.

关 键 词：急诊护理流程优化 急诊患者 护理满意度 

分 类 号：R47[医药卫生—护理学]