基于损伤控制理念的护理干预对急诊多发伤伴骨折的效果分析  

Effect Analysis of Nursing Intervention Based on Damage Control Concept on Emergency Multiple Injuries with Fractures

作　　者：宋小花 SONG Xiaohua(Department of emergency,Xinfeng county traditional Chinese medicine hospital,Ganzhou,Jiangxi 341600)

机构地区：[1]信丰县中医院急诊科,江西赣州341600

出　　处：《中国伤残医学》2024年第7期133-136,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析基于损伤控制理念的护理干预应用于急诊多发伤伴骨折中的效果。方法:选取2020年1月-2022年6月我院收治的66例多发伤伴骨折患者为研究对象,根据不同的护理方案分为对照组和观察组,各33例。对照组采用常规护理干预,观察组采用基于损伤控制理念的护理干预。比较2组的临床指标、并发症发生率、恢复情况、血管内凝血及急救成功情况及护理满意度。结果:观察组的临床指标均优于对照组,差异有统计学意义(P<0.05)。观察组恢复情况均优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组血管内凝血发生率低于对照组,急救成功率高于对照组,组间差异有统计学意义(P<0.05)。观察组总满意度为96.88%,高于对照组的80.77%,差异有统计学意义(P<0.05)。结论:基于损伤控制理念的护理干预在急诊多发伤伴骨折中的应用效果较佳,其并发症发生率明显降低,可促进患者康复,改善患者的临床指标,提高急救成功率及护理满意度。Objective:To analyze the effect of nursing intervention based on the damage control concept in emergency multiple injuries with fractures.Methods:66 patients with multiple injury semi-fracture admitted to our hospital from January 2020 to June 2022 were selected as the study objects,and were divided into a control group and an observation group according to different nursing plans,with 33 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with nursing intervention based on the concept of damage control.The clinical indexes,complication rate,recovery,endovascular coagulation and first aid success and nursing satisfaction of the two groups were compared.Results:The clinical indexes of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).The recovery conditions of observation group were better than control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of intravascular coagulation in the observation group was lower than that in the control group;the success rate of first aid was higher than that in control group,the differences between groups were statistically significant(P<0.05).The total satisfaction of the observation group was 96.88%,which was higher than 80.77%of the control group,the difference was statistically significant(P<0.05).Conclusion:Nursing intervention based on the concept of damage control has good effect in the application of emergency multiple injuries with fractures,and the incidence of complications is significantly reduced,which can promote the rehabilitation of patients,improve the clinical indicators of patients,and increase the success rate of first aid and nursing satisfaction.

关 键 词：损伤控制理念 多发伤伴骨折 急诊 并发症 护理满意度 

分 类 号：R473[医药卫生—护理学]