基于危机管理理念的急诊急救优质策略在外伤患者中的应用效果  

Application effect of high-quality emergency rescue strategies based on crisis management concept in trauma patients

作　　者：郑婷婷 孔伟 刘燕 贾盼盼 ZHENG Tingting;KONG Wei;LIU Yan;JIA Panpan(Yangzhou Hongquan Hospital,Yangzhou,Jiangsu,225200,China)

机构地区：[1]扬州洪泉医院,江苏扬州225200

出　　处：《中西医结合护理(中英文)》2025年第1期171-174,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析基于危机管理理念的急诊急救优质策略在外伤患者中的应用效果。方法本研究纳入扬州洪泉医院2020年5月至2023年5月收治的97例外伤患者,开展回顾性研究,按干预时间的不同将患者分别纳入对照组(45例,2020年5月至2021年9月收治且接受常规急诊急救管理)和观察组(52例,2021年10月至2023年5月收治且接受基于危机管理理念的急诊急救优质策略)。对比2组的急救成功率、急诊急救耗时、并发症发生率、问题事件发生率和生命体征变化。结果观察组与对照组的急救成功率经比较,未见统计学差异(P>0.05)。观察组的院前急救反应时间、确诊时间、急诊至手术时间、急诊至病房时间均短于对照组(P均<0.05)。观察组的并发症和问题事件总发生率均较对照组低(P均<0.05)。接诊30 min时,观察组的心率、呼吸频率、收缩压和舒张压均较对照组低(P均<0.05),且2组均低于接诊时(P均<0.05)。结论基于危机管理理念的急诊急救优质策略能够提高外伤患者的急救成功率,缩短急诊急救耗时,降低并发症和问题事件的发生率,且有助于稳定其生命体征。Objective To analyze the application effect of high-quality emergency rescue strategies based on crisis management concept in trauma patients.Methods A retrospective study was conducted on 97 trauma patients admitted to Yangzhou Hongquan Hospital from May 2020 to May 2023.Patients were divided into a control group(45 cases,admitted from May 2020 to September 2021 and receiving routine emergency management)and an observation group(52 cases,admitted from October 2021 to May 2023 and receiving high-quality emergency rescue strategies based on crisis management concept)according to the different intervention time.The success rate of first aid,emergency rescue time,incidence of complications,incidence of problem events,and changes in vital signs were compared between the two groups.Results There was no statistically significant difference in the success rate of first aid between the observation group and the control group(P>0.05).The pre-hospital emergency response time,diagnosis time,emergency to surgery time,and emergency to ward time of the observation group were all shorter than those of the control group(all P<0.05).The total incidence of complications and problem events in the observation group was lower than that in the control group(P<0.05).At 30 minutes of admission,the heart rate,respiratory rate,systolic blood pressure and diastolic blood pressure of the observation group were lower than those of the control group(all P<0.05),and the above indicators of both groups were lower than those at admission(all P<0.05).Conclusion The high-quality emergency rescue strategies based on crisis management concept can improve the success rate of emergency rescue for trauma patients,shorten the emergency rescue time,reduce the incidence of complications and problem events,and help stabilize their vital signs.

关 键 词：外伤 危机管理理念 急诊急救 急救成功率 并发症 

分 类 号：R472.2[医药卫生—急诊医学]