摘要
目的探讨创伤患者并发多器官功能障碍综合征(MODS)的链式急救护理效果。方法选取我院急诊中心收治的84例创伤合并多器官功能障碍患者为研究对象,按链式抢救流程实施前(2016年8月至2017年8月)、后(2017年9月至2018年9月)将其分为对照组与观察组,各42例。对照组实施常规抢救流程,观察组实施链式急救流程。比较两组的护理效果。结果观察组的一般判断时间、生命体征判断时间、基本生命支持的抢救时间及有效救治时间均短于对照组,抢救成功率高于对照组(P<0.05)。观察组急救相关各项时间达标率及确定性手术30 min到达率均高于对照组(P<0.05)。观察组家属的满意度高于对照组,且护理流程及操作规范性、护士急救应急能力及医护配合度得分均高于对照组(P<0.05)。结论将链式急救护理应用于创伤合并多功能器官功能障碍患者中,可加强急救的程序性和时效性,提高抢救成功率,提高患者及医生对护理的满意度。
Objective To explore the effect of chain emergency nursing for traumatic patients complicated with multiple organ dysfunction syndrome (MODS). Methods Eighty-four patients with trauma complicated with multiple organ dysfunction admitted in emergency center of our hospital were selected as the research objects, and the patients were divided into control group (August 2016 to August 2017) and observation group (September 2017 to September 2018)according to the implementation sequence of chain rescue process , with 42 cases in each group. The control group was given routine rescue process, while the observation group was given chain rescue process. The nursing effects between the two groups were compared. Results The general judgement time, vital signs judgement time, basic life support rescue time and effective treatment time in the observation group were shorter than those in the control group, and the rescue success rate was higher than that in the control group (P<0.05). The rates of reaching the standard of emergency related time and the 30 minutes of definite operation in the observation group were higher than those in the control group (P<0.05). The satisfaction of family members in the observation group was higher than that in the control group, and the scores of nursing process and standardization of operation, emergency response capability of nurses and degree of doctor and nurse cooperation were higher than those in the control group (P<0.05). Conclusion Chain emergency nursing applied to traumatic patients with multiple organ dysfunction can strengthen the procedural and timeliness of first aid, improve the success rate of rescue, increased patients' and doctors' satisfaction with nursing.
作者
傅华
和晶
FU Hua;HE Jing(Xi'an Fourth Hospital, Xi'an 710004;Xi'an No.3 Hospital, Xi'an 710018, China)
出处
《临床医学研究与实践》
2019年第29期163-165,共3页
Clinical Research and Practice
关键词
创伤
多器官功能障碍
链式急救护理
trauma
multiple organ dysfunction syndrome
chain emergency nursing
