基于流程路径优化急救护理模式干预对严重多发伤患者抢救成功率及医患纠纷发生率的影响  

Effect of emergency nursing intervention based on process path optimization on the success rate of rescue and the incidence of doctor-patient disputes in patients with severe multiple injuries

作　　者：马瑞 门翠雯 张倩 杨丽娜 MA Rui;MEN Cuiwen;ZHANG Qian;YANG Lina(Department of Emergency,Kaifeng 155th Hospital,Kaifeng 475000,China)

机构地区：[1]开封一五五医院急诊科,河南开封475000

出　　处：《黑龙江医药科学》2025年第1期49-52,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关联合共建项目,编号:LHGJ20221911。

摘　　要：目的:回顾性分析基于流程路径优化急救护理模式干预在严重多发伤中的应用价值。方法:选取开封一五五医院2021年1月至2023年6月收治的75例严重多发伤患者,按护理方法不同分为路径优化组(n=37)、对照组(n=38),对照组行常规急救护理,路径优化组在此基础上行基于流程路径优化急救护理模式干预。比较两组急救相关指标、抢救成功率、医患纠纷发生率、家属满意度。结果:路径优化组气管插管、静脉用药、分诊、抢救时间均短于对照组(P<0.05);路径优化组抢救成功率97.30%高于对照组78.95%(P<0.05);路径优化组医患纠纷发生率2.70%明显低于对照组23.68%(P<0.05);路径优化组家属满意度83.78%高于对照组52.63%(P<0.05)。结论:严重多发伤患者实施基于流程路径优化急救护理模式干预,能改善急救相关指标,提高抢救成功率,降低医患纠纷发生率,从而提高家属满意度。Objective:To retrospectively analyze the application value of emergency nursing intervention based on process path optimization in severe multiple injuries.Methods:A total of 75 patients with severe multiple injuries in Kaifeng 155th Hospital from January 2021 to June 2023 were collected and divided into path optimization group(n=37)and control group(n=38)according to different nursing methods.The control group received routine emergency nursing,while the path optimization group received emergency nursing intervention based on process path optimization.The emergency-related indicators,rescue success rate,incidence of doctor-patient disputes and family satisfaction were compared between the two groups.Results:The tracheal intubation,intravenous medication,triage and rescue time in the path optimization group were shorter than those in the control group(P<0.05).The rescue success rate in the path optimization group 97.30%was higher than that of the control group 78.95%(P<0.05).The incidence of doctor-patient disputes in the path optimization group 2.70%was significantly lower than that in the control group 23.68%(P<0.05).The family satisfaction in the path optimization group 100.00%was higher than that in the control group 84.21%(P<0.05).Conclusion:The emergency nursing intervention based on process path optimization in patients with severe multiple injuries improve emergency-related indicators,increase the rescue success rate,reduce the incidence of doctor-patient disputes,and thereby enhance family satisfaction.

关 键 词：流程路径优化 急救护理 多发伤 抢救成功率 医患纠纷 

分 类 号：R473.6[医药卫生—护理学]