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·腹部疾病·

链式流程护理管理应用于急诊严重创伤患者中的可行性分析

作者:梁静珍 汤娟娟

所属单位:广东省肇庆市怀集县人民医院急救医学科 (广东 肇庆 526400)

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摘要

目的 探讨链式流程护理管理应用于急诊严重创伤患者中的临床效果。方法 选择我院2015年5月-2016年5月急诊科 收治的严重创伤患者142例为研究对象,以随机数字表法分组,观察组及对照组各71例;对照组实施常规护理管理 方案,观察组给予链式流程护理管理,对两组救治效果进行观察。结果 观察组生命体征判断时间、一般判断时间 及基本生命支持抢救时间均较对照组短,观察组抢救成功率(92.96%)高于对照组(81.69%),差异有统计学意义(P <0.05)。结论 急诊严重创伤患者抢救中应用链式流程护理管理可优化抢救程序,提高抢救效率,降低患者死亡 率,值得临床推广。

Objective To investigate the clinical effects of chain process nursing management in emergency patients with severe trauma. Methods 142 patients with severe trauma treated by emergency department in our hospital from May 2015 to May 2016 were selected as the research objects, which were divided into observation group and control group by the random number table method with 71 cases in each group. The routine nursing was carried out in the control group, while the chain process nursing management were underwent in the observation group. The treatment effects of the two groups were observed and compared. Results The time of vital signs judgment, the general judgment and the basic life support rescue in the observation group were shorter than those of the control group, The success rate of observation group (92.96%) was higher than that of control group (81.69%), the differences were statistically significant (P<0.05). Conclusion The application of chain process nursing management in emergency rescue of patients with severe trauma can optimize the rescue procedure, improve the rescue efficiency, and reduce the mortality rate of patients; thus it is worthy to be promoted in the clinical.

【关键词】急诊;严重创伤;链式流程;护理管理

【中图分类号】R264

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.03.028

前言

严重创伤为急诊常见危重症,其具有变化快、病 情严重及不可预见等特点,患者受伤后短时间内即出 现第一个死亡高峰期,数分钟至数小时内再次出现死 亡高峰期。临床认为,患者在第2个死亡高峰前进行 抢救为救治黄金时间[1]。急诊医护工作者需要提高效 率,在有效的救治时间窗内完成救治、分诊及监护 等,快速判断病情,给予生命体征支持及呼吸循环支 持是决定抢救成功与否的关键。本研究在严重创伤患 者急诊抢救中应用于链式流程管理,观察其应用可行 性,现报道如下。