医护一体化管理模式在严重创伤病人早期救治中的应用  

Application of integrated management model of health care in early treatment of severe trauma patients

作　　者：周建仪[1] 李淑芳[1] 曾奕云[1] 覃丽容[1] 

机构地区：[1]佛山市中医院

出　　处：《护理研究（下旬版）》2017年第10期3808-3812,共5页Chinese Nursing Researsh

基　　金：2013年度佛山市卫生局医学科研立项课题;编号:2013140

摘　　要：[目的]探讨医护一体化管理模式在严重创伤病人早期救治中的应用效果。[方法]将2014年收治的132例严重创伤病人设为对照组,实施常规临床救护方案;将2015年收治的138例严重创伤病人设为观察组,采用医护一体化管理模式进行早期救治,比较两组病人初步抢救所需时间、抢救成功率、并发症发生情况、住院时间以及对护理服务的满意度。[结果]观察组初步抢救所需时间(44.28 min±6.34 min)、住院时间(19.88 d±5.32 d)、并发症发生率(29.71%)低于对照组抢救所需时间(56.87 min±6.98 min)、住院时间(30.82 d±6.62 d)、并发症发生率(51.52%),观察组抢救成功率(91.30%)高于对照组抢救成功率(80.30%),两组比较差异有统计学意义(P<0.05);观察组病人家属对接诊、信息沟通和抢救环境的满意度评分高于对照组(P<0.05)。[结论]医护一体化管理模式能有效缩短严重创伤病人的早期抢救时间及住院时间,降低病人的并发症发生率,提升对严重创伤病人的抢救能力以及家属对医疗、护理服务的满意度。Objective： To explore the application of integrated management model of medical care in the earlytreatment of severe trauma patients. Methods： A total of 132 cases of severe trauma patients admitting in 2014 were selected as control group？ and receiving routine clinical ambulance program. Another 138 cases of severe trauma patients admitting tn 2015 were selected as observation group,and the tritegrated management model of health carewas used for early treatment, then to compare the initial rescue time, rescue succesof complication,length of hospital stay and satisfaction with care between both groups. Results： The tnitial res-cue time（44. 28 min± 6. 34 min）, length of hospital stay （19.88 d±5.32d ） , and the nddence of complications （29. 71 %） of patients in observation groupwere lower than those in control group（56. 87 min±6. 98min）（30. 82 d±6.62 d） （51. 52 %）. The success rate of rescue（91. 30%） in observation groupwas higher than that in control group（80. 30%）. There were statistically significant difference between both groups（P 〈0. 05）. The scores of patients’ admissions . information communication and rescue environment were higher in observation group than those in control group（P 〈0. 05）. Conclusions： The integrated management model of medical care could effectively shorten the early rescue time and hospitalization time of patients with severe trauma , reduce the incidence of complications, improve the rescue ability of patients with severe trauma and the satisfaction of family members to medical care and nursing services.

关 键 词：严重创伤 早期救治 管理模式 抢救时间 成功率 并发症 满意度 

分 类 号：R197.323[医药卫生—卫生事业管理]