摘要
目的观察颅脑损伤患者护理工作现状,行病房与手术室衔接护理,分析该模式的护理效果及对急救护理质量的影响。方法通过数字双盲法将2019年1月-2019年12月期间在南京医科大学附属无锡人民医院治疗的90例颅脑损伤患者分为对照组与研究组,分别给予常规急救护理、病房与手术室衔接护理,对比患者救治情况、急救护理质量、护理效果、并发症情况。结果研究组院前急救、急诊抢救、相关项目检查、受伤到实施手术各时间段均短于对照组(P<0.05);对照组疾病治愈率(66.67%)、住院前死亡率(11.11%)、住院后死亡率(22.22%)、心脏骤停(8.89%)、窒息(8.89%)、休克(6.67%)与研究组疾病治愈率(95.56%)、住院前死亡率(2.22%)、住院后死亡率(2.22%)、心脏骤停(0.00%)、窒息(2.22%)、休克(2.22%)组间对比,差异具有统计学意义(P<0.05);对照组护理有效率(77.78%)与研究组护理有效率(97.78%)组间对比,具有统计学意义(χ^(2)=8.389,P=0.004),对照组并发症率(33.33%)与研究组并发症率(8.89%)组间对比,差异具有统计学意义(χ^(2)=8.073,P=0.005)。结论颅脑损伤患者接受病房与手术室衔接护理,可有效缩短救治时间,提高急救护理质量与护理效果,减少并发症的发生,保证治疗安全性,该模式具有较高临床应用价值。
Objective To observe the current status of nursing care of patients with head injury,to conduct joint care between the ward and the operating room,and to analyze the nursing effect of this model and its impact on the quality of emergency care.Method 90 cases of brain injury patients treated in our hospital from January 2019 to December 2019 were divided into the control group and the study group by the digital double-blind method,and they were given routine emergency care,ward and operating room joint care,respectively,compare the patient's treatment,emergency care quality,nursing effect,and complications.Results The study group's pre-hospital first aid,emergency rescue,related item inspection,injury to surgery,each time period was shorter than the control group(P<0.05);the control group's disease cure rate(66.67%),pre-hospital mortality(11.11%),post-hospital mortality(22.22%),cardiac arrest(8.89%),asphyxia(8.89%),shock(6.67%),disease cure rate in the study group(95.56%),pre-hospital mortality(2.22%),post-hospital mortality(2.22%),cardiac arrest(0.00%),asphyxia(2.22%),shock(2.22%),the difference between the groups was statistically significant(P<0.05);the nursing effect of the control group(77.78%),the nursing effect of the study group(97.78%),the comparison between the groups was statistically significant(χ^(2)=8.389,P=0.004),the complication rate of the control group(33.33%),the complication rate of the study group(8.89%),the difference between the groups was statistically significant(χ^(2)=8.073,P=0.005).Conclusion Patients with craniocerebral injury receiving care in the ward and operating room can effectively shorten the treatment time,improve the quality of emergency care and nursing effect,reduce the occurrence of complications,and ensure the safety of treatment.This model has high clinical application value.
作者
朱天婵
马黎红
芦建华
曹慧文
黄东晓
Zhu Tianchan;Ma Lihong;Lu Jianhua;Cao Huiwen;Huang Dongxiao(Wuxi People's Hospital affiliated to Nanjing Medical University,Wuxi,Jiangsu 214023,China)
出处
《首都食品与医药》
2023年第15期100-103,共4页
Capital Food Medicine
基金
无锡市卫生计生委科研项目(MS201713)。
关键词
病房
手术室
衔接护理
颅脑损伤
应用效果
急救
护理质量
ward
operating room
joint nursing
head injury
application effect
first aid
nursing quality
