基于护理应急预案的急救流程在严重多发创伤性骨折中的应用观察  

Observation on the Application of First Aid Process Based on Nursing Emergency Plan in Severe Multiple Traumatic Fractures

作　　者：王胜娜 WANG Shengna(Department of emergency Tianjin jinnan hospital,Tianjin 300350)

机构地区：[1]天津市津南医院急诊科,天津300350

出　　处：《中国伤残医学》2024年第8期117-120,124,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨基于护理应急预案的急救流程在严重多发创伤性骨折中的应用.方法:选取2020年1月—2023年1月我院收治的82例严重多发创伤性骨折患者为研究对象,按照随机数字表法将其分为观察组和对照组,各41例.观察组采用基于护理应急预案的急救流程护理,对照组采用常规急救流程护理.对比2组患者的临床护理效果.结果:观察组入院至接受治疗、入院候诊、呼救至院前急救、ICU监护、自主下床活动、呼吸频率恢复正常和住院时间均短于对照组,组间差异有统计学意义(P<0.05).观察组Kolcaba简化舒适状况量表各个维度评分,健康调查简表各个项目评分均高于对照组,组间差异有统计学意义(P<0.05).观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05).观察组国际功能、残疾和健康分类康复量表中的身体结构、身体功能、环境因素和活动与参与评分均低于对照组,组间差异有统计学意义(P<0.05).结论:基于护理应急预案的急救流程在严重多发创伤性骨折中的应用效果显著,可有效缩短急救时间,促进病情恢复,改善患者生活质量,减少不良事件的发生.Objective:To explore the application of emergency procedure based on nursing emergency plan in severe multiple traumatic fractures.Methods:82 patients with severe multiple traumatic fractures admitted to our hospital from January 2020 to January 2023 were selected as the study objects,and were divided into an observation group and a control group according to random number table method,with 41 cases in each group.The first aid process based on nursing emergency plan nursing was adopted in the observation group,and the conventional first aid process was adopted in the control group.The clinical nursing effects of 2 groups were compared.Results:The time of admission to receiving treatment,waiting for admission to hospital,emergency from calling for help to pre-hospital,ICU monitoring,autonomous getting out of bed activity,respiratory rate returning to normal and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The scores of each dimension of Kolcaba Simplified Comfort Status Scale and the scores of the MOS item short form health survey in observation group were higher than those in control group,and the differences between groups were statistically significant(P<0.05).The incidence of adverse events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The body structure,body function,environmental factors and activity and participation scores of the International Classification of Functioning,Disability and Health Rehabilitation Scale in the observation group were lower than those in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion:The first aid procedure based on nursing emergency plan has significant effect in the application of severe multiple traumatic fractures,which can effectively shorten the first aid time,promote the recovery of the condition,improve the quality of life of patients,and reduce the occ

关 键 词：多发创伤性骨折 护理应急预案 急救流程 

分 类 号：R683[医药卫生—骨科学]