优化手术护理配合急救流程对急危重症创伤患者抢救效率及护理质量的影响  

Influence of optimizing the operation nursing and first aid process on rescue efficiency and nursing quality of patients with acute and critical trauma

作　　者：董真真 沈欣[1] 张雅 龚杰[1] Dong Zhenzhen;Shen Xin;Zhang Ya;Gong Jie(Operation Room,Zhejiang Hospital,Hangzhou 310000,Zhejiang,China)

机构地区：[1]浙江医院手术室,浙江杭州310000

出　　处：《中国中西医结合急救杂志》2020年第3期334-337,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省中医药科技计划项目(2016ZQ004)。

摘　　要：目的 探讨优化手术护理配合急救流程对急危重症创伤患者抢救效率及护理质量的影响.方法 选择2018年1月至2019年12月在浙江医院就诊的急危重症创伤患者104例作为研究对象,其中以2018年1月至12月收治的52例患者为常规护理组;以2019年1月至12月收治的52例患者为优化护理组.常规护理组给予常规护理;优化护理组在常规护理组的基础上给予优化手术护理配合急救流程.记录两组设备准备时间、病情评估时间、心肺复苏(CPR)时间、吸痰时间、吸氧时间和静脉开放时间;自制调查问卷,调查患者的护理满意度;并观察两组患者的预后情况.结果 优化护理组设备准备时间(min:1.83±0.49比2.37±0.54)、病情评估时间(s:8.20±2.83比10.58±2.09)、CPR时间(min:3.89±1.46比6.56±1.25)、吸痰时间(s:7.90±2.89比14.88±2.74)、吸氧时间(s:19.32±3.64比26.38±2.78)、静脉开放时间(s:19.73±2.06比27.80±2.56)均较常规护理组明显缩短;优化护理组护理态度(分:2.67±0.32比2.01±0.37)、护理技术(分:2.73±0.20比2.24±0.43)、护理效果(分:2.58±0.29比2.02±0.38)、环境设施(分:2.65±0.34比2.04±0.43)、便捷性(分:2.60±0.38比2.10±0.53)、健康教育(分:2.55±0.43比2.11±0.47)等护理满意度评分均明显高于常规护理组,差异均有统计学意义(均P<0.05).优化护理组休克发生率、器官功能障碍综合征(MODS)发生率以及病死率均明显低于常规护理组〔休克:15.38%(8/52)比36.54%(19/52),MODS:9.62%(5/52)比25.00%(13/52),病死率:7.69%(4/52)比25.00%(13/52),均P<0.05〕.结论 优化手术护理配合急救流程能有效提高急危重症创伤患者抢救效率和护理满意度,降低病死率,具有较高的临床应用价值.Objective To explore the influence of optimizing the operation nursing and first aid process on the rescue efficiency and nursing quality of critical and severe trauma patients.Methods The 104 patients with acute and severe trauma admitted in Zhejiang Hospital from January 2018 to December 2019 were selected as research objects,of which 52 patients from January to December 2018 were the routine nursing group and 52 patients from January to December 2019 were the optimized nursing group.The patients in routine nursing group were given routine nursing.The patients in optimized nursing group were given the optimized operation nursing and first aid process on the basis of routine nursing group.The equipment preparation time,condition evaluation time,cardiopulmonary resuscitation(CPR)time,sputum suction time,oxygen inhalation time and venous opening time were recorded.Self-designed questionnaire(was used to investigate the patients'nursing satisfaction.The prognosis of the two groups was observed.Results In optimized nursing group,the equipment preparation time(minutes:1.83±0.49 vs.2.37±0.54),condition evaluation time(s:8.20±2.83 vs.10.58±2.09),CPR time(minutes:3.89±1.46 vs.6.56±1.25),sputum suction time(s:7.90±2.89 vs.14.88±2.74),oxygen inhalation time(s:19.32±3.64 vs.26.38±2.78)and vein opening time(s:19.73±2.06 vs.27.80±2.56)were significantly shorter than those in routine nursing group,the scores of nursing satisfaction in terms of nursing attitude(2.67±0.32 vs.2.01±0.37),nursing skill(2.73±0.20 vs.2.24±0.43),nursing effect(2.58±0.29 vs.2.02±0.38),environmental facilities(2.65±0.34 vs.2.04±0.43),convenience(2.60±0.38 vs.2.10±0.53)and health education(2.55±0.43 vs.2.11±0.47)in optimized nursing group were significantly higher than those in routine nursing group,with significant differences(all P<0.05).The incidence of shock,multiple organ dysfunction syndrome(MODS)and fatality rate in optimized nursing group were significantly lower than those in routine nursing group[shock:15.38%(8/52)vs.36

关 键 词：手术护理 急救流程 急危重症 创伤 

分 类 号：R47[医药卫生—护理学]