早期集束化介入管理对急诊ICU严重创伤患者救治效果及并发症发生情况的影响  

Influences of early cluster intervention management on the treatment effect and complications of patients with severe trauma in emergency ICU

作　　者：陈六姣 何娜 CHEN Liujiao;HE Na(Emergency Department,Kaifeng People's Hospital,Kaifeng 475000,China)

机构地区：[1]开封市人民医院急诊科,河南开封475000

出　　处：《临床医学研究与实践》2025年第10期166-169,共4页Clinical Research and Practice

摘　　要：目的探讨早期集束化介入管理对急诊ICU严重创伤患者救治效果及并发症发生情况的影响。方法选取2021年6月至2022年9月我院接收的86例急诊ICU严重创伤患者作为研究对象,按照护理方式的不同将其分为参照组(43例)和集束组(43例)。参照组予以常规护理干预,集束组在参照组基础上给予早期集束化介入管理干预。比较两组的干预效果。结果集束组的救治成功率高于参照组,致残率低于参照组(P<0.05)。集束组的并发症总发生率低于参照组(P<0.05)。集束组的机械通气时间、入住ICU时间、出院时间明显短于参照组(P<0.05)。干预前,两组的正性、负性情绪及视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);干预后,集束组的正性情绪评分高于参照组,负性情绪、VAS评分低于参照组(P<0.05)。干预前,两组的舒适状况量表(GCQ)评分比较,差异无统计学意义(P>0.05);干预后,集束组的GCQ评分高于参照组,差异具有统计学意义(P<0.05)。结论早期集束化介入管理应用于急诊ICU严重创伤患者中能极大提高救治效果,缓解患者负性情绪、疼痛程度,提升其舒适度,减少并发症发生情况,加快康复进程。Objective To explore the influences of early cluster intervention management on the treatment effect and complications of patients with severe trauma in emergency ICU.Methods A total of 86 patients with severe trauma in emergency ICU received in our hospital from June 2021 to September 2022 were selected as the research objects.According to the different nursing methods,the patients were divided into reference group(43 cases)and cluster group(43 cases).The reference group was given routine nursing intervention,and the cluster group was given early cluster intervention management intervention on the basis of the reference group.The intervention effects of the two groups were compared.Results The treatment success rate of the cluster group was higher than that of the reference group,and the disability rate was lower than that of the reference group(P<0.05).The total incidence of complications in the cluster group was lower than that in the reference group(P<0.05).The mechanical ventilation time,ICU admission time and discharge time of the cluster group were significantly shorter than those of the reference group(P<0.05).Before intervention,there were no significant differences in positive and negative emotions and Visual Analogue Scale(VAS)scores between the two groups(P>0.05);after intervention,the positive emotion score of the cluster group was higher than that of the reference group,and the negative emotion and VAS scores were lower than those of the reference group(P<0.05).Before intervention,there was no significant difference in General Comfort Questionnaire(GCQ)score between the two groups(P>0.05);after intervention,the GCQ score of the cluster group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion The early cluster intervention management applied in patients with severe trauma in emergency ICU can greatly improve the treatment effect,alleviate the negative emotions and pain of patients,improve their comfort,reduce the occurrence of complications

关 键 词：早期集束化介入管理 急诊 ICU 严重创伤 救治效果 

分 类 号：R473[医药卫生—护理学]