基于定量评估的分级护理联合危机管理对急症创伤患者预后的影响  

Effect of Graded Nursing Based on Quantitative Assessment Combined with Crisis Management on Prognosis of Patients with Acute Trauma

作　　者：谢婷 李金艳 XIE Ting;LI Jinyan(Department of Nosocomial Infection Management,Xingguo Hospital Affiliated to Gannan Medical University,Ganzhou 341000,China;Department of Emergency,Xingguo Hospital Affiliated to Gannan Medical University,Ganzhou 341000,China)

机构地区：[1]赣南医科大学附属兴国医院医院感染管理科,江西赣州341000 [2]赣南医科大学附属兴国医院急诊科,江西赣州341000

出　　处：《中国伤残医学》2025年第6期124-128,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨基于定量评估的分级护理方案与危机管理在急症创伤患者预后中的应用效果。方法:选取赣南医科大学附属兴国医院2022年1月-2024年5月收治的76例急症创伤患者为研究对象,将2022年1月-2022年12月就诊的患者为对照组,2023年1月-2024年5月就诊的患者纳入观察组,各38例。所有患者均接受常规急救治疗,在此基础上,对照组采用常规护理,观察组采用基于定量评估的分级护理联合危机管理。比较两组护理相关时间指标、不良事件发生情况、护理质量及护理满意度。结果:观察组病情评估时间、术前准备时间及绿色通道停留时间均短于对照组,差异均有统计学意义(P<0.05)。观察组急救治疗后不良事件发生率为2.63%,低于对照组的21.05%,差异有统计学意义(P<0.05)。观察组的基础护理、病房管理、护理效率、物品管理、护理文书评分均高于对照组,差异均有统计学意义(P<0.05)。观察组的护理满意度为94.74%,高于对照组的73.68%,差异有统计学意义(P<0.05)。结论:为急症创伤患者实施基于定量评估的分级护理与危机管理方案,能显著提高护理效率与质量,提升患者的护理满意度,并有助于降低感染、黏膜溃疡等不良事件的发生率。Objective:To explore the effect of graded nursing based on quantitative assessment combined with crisis management on prognosisin patients with acute trauma.Methods:A total of 76 cases with acute trauma patients admitted to Xingguo Hospital Affiliated to Gannan Medical University from January 2022 to May 2024 were selected as the study objects,patients treated from January 2022 to December 2022 were the control group,and patients treated from January 2023 to May 2024 were the observation group,with 38 cases in each group.All patients received conventional emergency treatment.On this basis,the control group received conventional nursing,while the observation group received graded nursing based on quantitative assessment combined with crisis management.The nursing related time indexes,occurrence of adverse events,nursing quality and nursing satisfaction were compared between the two groups.Results:The condition evaluation time,preoperative preparation time and green channel residence 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 after emergency treatment in the observation group was 2.63%,which was lower than 21.05%in the control group,the difference was statistically significant(P<0.05).The scores of basic nursing,ward management,nursing efficiency,item management and nursing documents in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 94.74%,which was higher than 73.68%in the control group,the difference was statistically significant(P<0.05).Conclusion:The implementation of graded nursing based on quantitative assessment combined with crisis management for patients with acute trauma can significantly improve nursing efficiency and quality,improve patients’nursing satisfaction,and help reduce the incidence of adverse events such as infection and mucosal ulcer.

关 键 词：创伤 急症护理 分级护理 危机管理 护理质量 

分 类 号：R473[医药卫生—护理学]