急救流程再造对急性百草枯中毒患者抢救效率及满意度影响的研究  

Study on the influence of first aid process reengineering on rescue efficiency and satisfaction of patients with acute paraquat poisoning

作　　者：陈燕子 季学丽[1] 张丽[1] 金伦 邹春霞 李娟[1] CHEN Yanzi;JI Xueli;ZHANG Li;JIN Lun;ZOU Chunxia;LI Juan(Emergency Department,the First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊科,江苏南京210029

出　　处：《中国急救复苏与灾害医学杂志》2023年第11期1481-1484,1506,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：江苏省自然科学基金青年基金(编号:BK20201078);江苏省医学创新团队项目(编号:CXTDA2017007)。

摘　　要：目的 探讨急救流程再造对急性百草枯中毒患者抢救效率及满意度的影响。方法 选取2018年8月—2020年8月南京医科大学第一附属医院急诊接诊的60例急性百草枯患者作为研究对象。按照随机数字表法,将其分为对照组和研究组,每组30例患者。对照组按照急诊常规中毒急救流程进行救治,研究组运用急救流程再造进行急救干预。比较两组患者急诊救治的相关指标(分诊时间、接诊时间、洗胃时间、血液灌流时间)及就诊满意度,患者出院时结局。结果 两组患者一般资料具有可比性;研究组的分诊时间、接诊时间、洗胃时间、血液灌流时间均短于对照组,研究组患者的就诊满意度高于对照组,差异有统计学意义(P<0.05);研究组出院时的患者存活率高于对照组,病死率低于对照组,但两组间差异无统计学意义(P>0.05)。结论 急救流程再造可有效缩短急性百草枯中毒患者的急诊救治时间,提高患者的抢救效率和就诊满意度,值得临床借鉴。Objective To investigate the effect of first aid process reengineering on rescue efficiency and satisfaction of patients with acute paraquat poisoning.Methods A total of 60 patients with acute paraquat admitted to The First Affiliated Hospital of Nanjing Medical University from August 2018 to August 2020 were selected as research objects.According to the random number table method,the patients were divided into control group and study group,with 30 patients in each group.The control group was treated according to the routine poisoning first aid procedure,the study group applied first aid process reengineering to first aid intervention.The relevant indexes of emergency treatment(triage time,receiving time,gastric lavage time,hemoperfusion time),satisfaction with medical treatment and the outcome of patients at discharge were compared between the two groups.Results Baseline data were comparable between the two groups.The triage time,receiving time,gastric lavage time and hemoperfusion time of the study group were shorter than those of the control group,and the satisfaction of patients in the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The study group had a higher survival rate at discharge than the control group,the mortality rate was lower than that of the control group,but there was no significant difference between the two groups(P>0.05).Conclusion First aid process reengineering can effectively shorten the emergency treatment time of patients with acute paraquat poisoning,improve the rescue efficiency and patient satisfaction,which is worthy of clinical reference.

关 键 词：急救流程再造 急性百草枯中毒 抢救效率 满意度 

分 类 号：R473.5[医药卫生—护理学]