基于危机管理理论的全方位急诊护理对创伤性颅脑损伤患者的影响  

Impact of Comprehensive Emergency Nursing Based on Crisis Management Theory on Patients with Traumatic Head Injury

作　　者：张诗霞 吴杨玲[1] 李智海 ZHANG Shixia;WU Yangling;LI Zhihai(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中外医学研究》2024年第26期94-97,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究基于危机管理理论的全方位急诊护理对创伤性颅脑损伤患者的影响。方法:回顾性选取2023年1—12月厦门大学附属第一医院急诊科收治的100例创伤性颅脑损伤患者。根据不同护理方法将其分为观察组和对照组,各50例。对照组实施常规急诊护理,观察组在对照组基础上实施基于危机管理理论的全方位急诊护理。比较两组时间指标、并发症、相关指标。结果:观察组确诊时间、急诊科抢救时间、急诊转送至手术时间均早于对照组,住院时间短于对照组,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)。出院时,两组格拉斯哥昏迷评分法(GCS)评分、卡式功能状态量表(KPS)评分均升高,美国国立卫生研究院卒中量表(NIHSS)评分降低,观察组GCS评分、KPS评分均高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。结论:基于危机管理理论的全方位急诊护理可提高抢救效果,还可保证患者的健康安全。Objective:To explore the impact of comprehensive emergency nursing based on crisis management theory on patients with traumatic head injury.Method:A total of 100 patients with traumatic brain injury admitted to the Emergency Department of the First Affiliated Hospital of Xiamen University from January to December 2023 were retrospectively selected.According to different nursing methods,they were divided into observation group and control group,with 50 cases in each group.The control group received routine emergency nursing,while the observation group received comprehensive emergency nursing based on crisis management theory on the basis of the control group.The time indexes,complications and related indexes were compared between the two groups.Result:The diagnosis time,emergency department rescue time,and emergency transfer to surgery time of the observation group were all earlier than those of the control group,and the hospitalization time was shorter than that of the 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).At discharge,the scores of Glasgow coma scale(GCS)and Karnofsky functional status scale(KPS)were increased in both groups,while the scores of National Institute of Health stroke scale(NIHSS)were decreased,the GCS and KPS scores of the observation group were higher than those of the control group,and the NIHSS scores were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Comprehensive emergency nursing based on crisis management theory can improve rescue effectiveness and ensure the health and safety of patients.

关 键 词：创伤性颅脑损伤 危机管理理论 全方位急诊护理 急救效率 

分 类 号：R473.6[医药卫生—护理学]