急诊护理程序与系统护理对多发性创伤患者的救护效果分析  

Rescue Analysis Effect of Emergency Nursing Procedures and Systematic Nursing on Multiple Trauma Patients

作　　者：陈洁[1] 朱怡晴 李青[1] CHEN Jie;ZHU Yiqing;LI Qing(Department of Nursing,Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200000,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,上海200000

出　　处：《中国伤残医学》2025年第6期115-119,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究多发性创伤患者临床救护中运用急诊护理程序与系统护理的效果。方法:选取2023年1月-2024年1月上海交通大学医学院附属仁济医院收治的100例多发性创伤患者为研究对象,根据随机数字表法将其分为对照组及观察组,每组50例。对照组采用传统护理,观察组采用急诊护理程序与系统护理。比较两组救护时效指标、不良事件发生情况病情状况及护理满意度。结果:观察组的建立静脉通路时间、药物使用时间、气道管理时间、血液样本送检时间、首次CT检查时间、开展急诊手术时间均短于对照组,差异均有统计学意义(P<0.05)。观察组的不良事件发生率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。护理后7 d,观察组的病情状况急性生理学和慢性健康状况评价Ⅱ评分低于对照组,差异有统计学意义(P<0.05)。观察组的护理满意度为98.00%,高于对照组的84.00%,差异有统计学意义(P<0.05)。结论:多发性创伤患者救护中运用急诊护理程序与系统护理的效果理想,可改善其救护效果,降低不良事件发生率,缩短救护时间,具有较高的应用价值。Objective:To explore the rescue effect of emergency nursing procedures and systematic nursing on multiple trauma patients.Methods:A total of 100 patients with multiple trauma admitted to Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2023 to January 2024 were selected as the research objects and divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received traditional nursing,the observation group received emergency nursing procedures and systematic nursing.The indexes of rescue time,occurrence of adverse events,disease status and nursing satisfaction were compared between the two groups.Results:The time of venous access establishment,drug use,airway management,blood sample delivery time,first CT examination time and emergency operation time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was 4.00%,which was lower than 18.00%in the control group,the difference was statistically significant(P<0.05).After nursing,the acute Physiology and Chronic Health EvaluationⅡscore of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 98.00%,which was higher than 84.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of emergency nursing procedures and system nursing for multiple trauma patients is ideal,which can improve the rescue effect,reduce the incidence of adverse events,shorten the rescue time,and has high application value.

关 键 词：多发性创伤 急诊护理程序 系统护理 不良事件 

分 类 号：R473[医药卫生—护理学]