胸部严重创伤急救临床护理路径的应用效果分析  

Emergency First Aid and Clinical Care for Severe Thoracic Trauma

作　　者：邵燕 辛宁 张梅[1] SHAO Yan;XIN Ning;ZHANG Mei(960 TH People's Liberation Army Support Unit Hospital Department of Thoracic Surgery,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第九六○医院胸外科,山东济南250031

出　　处：《中华灾害救援医学》2024年第8期994-996,共3页Chinese Journal of Disaster Medicine

摘　　要：目的探索胸部严重创伤急诊急救采取临床护理路径(Clinical Pathway,CP)的应用效果。方法回顾性收集2021年6月至2023年6月本院收治的100例胸部严重创伤患者为研究对象,分为研究组(采用临床护理路径)与对照组(采用常规护理),每组各50例。比较两组患者的抢救时间、住院时间、费用、并发症情况、死亡率、护理满意度。结果研究组患者抢救时间和住院时间均显著短于对照组(P<0.001),研究组患者急救费用也显著低于对照组(P<0.001)。研究组患者并发症发生率为4.00%,显著低于对照组的26.00%,差异有统计学意义(P<0.05)。研究组和对照组患者的死亡率无显著差异(P>0.558)。研究组的护理满意度为92.00%,显著高于对照组的62.00%(P<0.001)。结论胸部严重创伤急救采取临床护理路径进行护理,可缩短胸部严重创伤患者的抢救时间,减少并发症的发生和患者的经济负担,提高护理满意度。Objective To explore the effectiveness of implementing Clinical Pathways(CP)in the emergency care of patients with severe chest trauma.Methods A retrospective analysis was conducted on 100 cases of severe chest trauma treated in our hospital from June 2021 to June 2023.The patients were divided into two groups:the study group(n=50,receiving standard care)and the control group(n=50,receiving care based on Clinical Pathways).Rescue time,hospitalization duration,costs,complications,mortality rates,and nursing satisfaction were compared between the two groups.Results The study group had significantly shorter rescue and hospitalization times compared to the control group(P<0.001).The emergency care costs in the study group were significantly lower than those in the control group(P<0.001).The complication rate in the study group was 4.00%,significantly lower than that(26.00%)in the control group,with a statistically significantdifference(P<0.05).There was no significant difference in mortality rates between the study and control groups(P>0.558).Nursing satisfaction in the study group(92.00%)was significantly higher than that in the control group(62.00%)(P<0.001).Conclusion Implementing Clinical Pathways in the emergency care of severe chest trauma can shorten rescue times,reduce complications and financial burden,and improve nursing satisfac tion.

关 键 词：胸部损伤 创伤和损伤 急救 手术后并发症 

分 类 号：R473.6[医药卫生—护理学]