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作 者:张欣雨[1] 钱晓菁[1] Zhang Xinyu;Qian Xiaojing(Emergency Department,Wuxi Second People's Hospital,Wuxi 214000,China)
出 处:《国际医药卫生导报》2022年第21期3037-3040,共4页International Medicine and Health Guidance News
基 金:江苏省自然科学基金项目(BK20191429)。
摘 要:目的探究智能平台下的急诊分诊系统对多发伤患者的急救价值。方法以前瞻性研究对无锡市第二人民医院自2020年1月至2022年1月抽取的140例多发伤患者作为研究对象,按照随机分组法分为两组,各70例。对照组男52例,女18例,年龄(52.51±5.67)岁,采取常规分诊护理。观察组男53例,女17例,年龄(52.11±5.04)岁,应用智能平台下的急诊分诊系统护理。对比两组患者在干预后急救情况、抢救效率及抢救过程当中形成的不良事件发生率。统计学方法采用t检验、χ^(2)检验。结果对照组急救时间、预警时间、静脉通道建立时间及分诊评估时间均高于观察组,差异均有统计学意义(t=2.417、2.399、3.049、2.585,均P<0.05);观察组抢救启动、开放静脉通道、气道清理、呼吸支持、标本送检时间均优于对照组,差异均有统计学意义(t=2.066、2.098、3.373、2.597、3.247,均P<0.05);观察组不良事件发生率为7.14%(5/70),低于对照组[18.57%(13/70)],差异有统计学意义(χ^(2)=4.080,P=0.043)。结论针对存在多发伤患者采取智能平台下的急诊分诊系统护理,可有效提升患者的急救时间,提高抢救效率,降低不良事件发生率,利于患者快速预后,值得各个科室借鉴采纳。Objective To explore the first aid value of emergency triage system under intelligent platform for patients with multiple injuries.Methods One hundred and forty patients with multiple injuries treated in Wuxi Second People's Hospital from January 2020 to January 2022 were selected as the research objects,and were randomly divided into a control group and an observation group,with 70 cases in each group.There were 52 males and 18 females in the control group,and they were(52.51±5.67)years old.There were 53 males and 17 females in the observation group,and they were(52.11±5.04)years old.The control group received routine triage nursing,and the observation group received emergency triage system nursing under the intelligent platform.The first aid situations,rescue efficiencies,and the incidences,of adverse events formed in the rescue process of the two groups were compared.t andχ^(2) tests were applied.Results The emergency treatment time,early warning time,venous channel establishment time,and triage evaluation time in the control group were significantly longer than those in the observation group,with statistical differences(t=2.417,2.399,3.049,and 2.585;all P<0.05).The observation group was better than the control group in rescue initiation,opening venous channels,airway cleaning,respiratory support,and specimen submission for examination,with statistical differences(t=2.066,2.098,3.373,2.597,and 3.247;all P<0.05).The incidence of adverse events in the observation group was lower than that in the control group[7.14%(5/70)vs.18.57%(13/70)],with a statistical difference(χ^(2)=4.080,P=0.043).Conclusion The emergency triage system nursing under the intelligent platform for patients with multiple injuries can effectively improve their first aid time and the rescue efficiency,reduce the incidence of adverse events,and facilitate their rapid prognosis,so it is worthy of reference and adoption by all departments.
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