基于初级创伤救治原则的院前急救护理对重度颅脑外伤患者救治效果及预后的影响  

Effects of pre-hospital emergency nursing based on the principle of primary trauma treatment on the treatment effect and prognosis of patients with severe craniocerebral trauma

作　　者：贾春岭 JIA Chunling(Emergency 120 Integrated Dispatching Office,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院急诊应急120综合调度办公室,河南南阳473000

出　　处：《临床医学研究与实践》2024年第27期166-169,共4页Clinical Research and Practice

摘　　要：目的探讨基于初级创伤救治原则的院前急救护理对重度颅脑外伤患者救治效果及预后的影响。方法选取2021年7月至2022年7月我院收治的54例重度颅脑外伤患者,根据护理方案将其分为对照组(27例)和观察组(27例)。对照组行常规护理,观察组行基于初级创伤救治原则的院前急救护理。比较两组的干预效果。结果观察组的治愈率高于对照组(P<0.05)。观察组的急救反应时间、接诊时间、急诊科抢救时间短于对照组(P<0.05)。干预后,观察组的格拉斯哥预后量表(GOS)、自我效能感量表(GSES)评分高于对照组,日常生活活动能力量表(ADL)、美国国立卫生研究院卒中量表(NIHSS)评分低于对照组(P<0.05)。观察组的护理态度、沟通质量、急救处理、无缝隙衔接、护理舒适度评分高于对照组(P<0.05)。两组的痊愈率、致残率无明显差异(P>0.05)。结论基于初级创伤救治原则的院前急救护理用于重度颅脑外伤患者,可提升临床治愈率和急救效率,改善神经功能损伤程度,提高日常生活活动能力、自我效能感及护理满意度。Objective To explore the effects of pre-hospital emergency nursing based on the principle of primary trauma treatment on the treatment effect and prognosis of patients with severe craniocerebral trauma.Methods A total of 54 patients with severe craniocerebral trauma admitted in our hospital from July 2021 to July 2022 were selected and divided into control group(27 cases)and observation group(27 cases)according to nursing plan.The control group received routine nursing,and the observation group received pre-hospital emergency nursing based on the principle of primary trauma treatment.The intervention effects of the two groups were compared.Results The cure rate of the observation group was higher than that of the control group(P<0.05).The emergency response time,admission time and emergency department rescue time of the observation group were shorter than those of the control group(P<0.05).After intervention,the scores of Glasgow Outcome Scale(GOS)and General Self-Efficacy Scale(GSES)in the observation group were higher than those in the control group,and the scores of Activities of Daily Living(ADL)and the National Institutes of Health Stroke Scale(NIHSS)in the observation group were lower than those in the control group(P<0.05).The scores of nursing attitude,communication quality,emergency treatment,seamless connection and nursing comfort in the observation group were higher than those in the control group(P<0.05).There were no significant differences in the cure rate and disability rate between the two groups(P>0.05).Conclusion The application of pre-hospital emergency nursing based on the principle of primary trauma treatment in patients with severe craniocerebral trauma can improve the clinical cure rate and first aid efficiency,ameliorate the degree of neurological damage,and enhance the ability of daily living activities,self-efficacy and satisfaction.

关 键 词：初级创伤救治原则 院前急救护理 重度颅脑外伤 

分 类 号：R472.2[医药卫生—急诊医学]