基于创伤评分的一体化急救护理模式对多发伤患者救治时间及安全性的影响-当代护理-CSCIED科技核心评价数据库-手机版

基于创伤评分的一体化急救护理模式对多发伤患者救治时间及安全性的影响

Influence of integrated emergency nursing model based on trauma score on treatment time and safety of patients with multiple injuries

ES评分 0 浏览量：752 下载量：0

全文阅读下载引用收藏

DOI	10.12208/j.cn.20220109
刊名	当代护理 Contemporary Nursing
年，卷(期)	2022, 3(3)
作者	刘晴晴*,宋红,
作者单位	徐州矿务集团总医院江苏徐州 ;
摘要	对于多发伤患者的治疗通常由于治疗部位的数量多，患者的治疗依从性低，而导致其治疗质量下降，因此需要更好护理干预帮助其稳固治疗效果。现研究对多发伤患者采用基于创伤评分的一体化急救护理模式，观察对其救治时间及安全性的影响和实际应用价值。方法此次临床研究的观察对象均为2020年1月到2021年2月期间在我院经组织学或细胞学确诊的多发伤患者，共计120例，根据护理措施不同将患者平均分为常规急救护理组和一体化急救护理组（每组各60例）。后分别对比两组患者的救治时间、救治效果、ARDS及MODS评分和护理满意度。结果经数据分析，常规急救护理组患者的救治时间（73.27±17.91min）、救治效果（85.00%）、ARDS（30.00%）、MODS（21.67%）、护理满意度（86.67%）；一体化急救护理组患者的救治时间（38.23±16.12min）、救治效果（95.00%）、ARDS（5.00%）、MODS（20.00%）、护理满意度（98.33%）；对比显示发现，一体化及救护组患者的救治时间和ARDS及MODS评分更少更低，但其救治效果和护理满意度却更好，组间数值P＜0.05，说明存在对比意义。结论创伤评分体系是评估伤情严重程度的方法，为各种伤情提供有效评估，进而采用更精心的护理方案，该项护理措施恰好能够缩短对患者的救治时间，改善患者的救治效果，降低呼吸困难和器官功能衰竭，提高患者的护理满意度，减轻患者痛苦，值得大范围推广，建议提倡。
Abstract	Objective The treatment of patients with multiple injuries is usually due to the large number of treatment sites and the low treatment compliance of the patients, which leads to a decline in the quality of treatment. Therefore, better nursing intervention is needed to help stabilize the treatment effect. The present study adopts an integrated emergency nursing model based on trauma score for patients with multiple injuries, and observes its impact on treatment time and safety and its practical application value. Methods The subjects of this clinical study were all patients with multiple injuries diagnosed by histology or cytology in our hospital from January 2020 to February 2021, a total of 120 cases. According to different nursing measures, the patients were equally divided into routine Emergency care group and integrated emergency care group (60 cases in each group). The treatment time, treatment effect, ARDS and MODS scores, and nursing satisfaction were compared between the two groups. Results After data analysis, the treatment time (73.27±17.91min), treatment effect (85.00%), ARDS (30.00%), MODS (21.67%) and nursing satisfaction (86.67%) of patients in the routine emergency care group; integrated The rescue time (38.23±16.12min), rescue effect (95.00%), ARDS (5.00%), MODS (20.00%) and nursing satisfaction (98.33%) of patients in the emergency nursing group; The patients treatment time and ARDS and MODS scores were shorter and lower, but their treatment effect and nursing satisfaction were better. Conclusion The trauma scoring system is a method for evaluating the severity of injuries, providing effective evaluation for various injuries, and then adopting a more careful nursing plan. This nursing measure can just shorten the treatment time for patients and improve the treatment effect of patients. It can reduce dyspnea and organ failure, improve patients nursing satisfaction, and relieve patients pain. It is worthy of widespread promotion and recommended.
关键词	创伤评分；一体化急救护理；多发伤患者；救治时间；救治效果；护理满意度
KeyWord	Trauma score; Integrated emergency care; Multiple trauma patients; Treatment time; Treatment effect; Nursing satisfaction
基金项目
页码	165-168

参考文献
相关文献

[1] 房媛媛,宦燕,李婷婷,于靓靓,王均.创伤急救护理对严重创伤患者有效抢救时间和抢救成功率的影响研究[J].实用临床护理学电子杂志.2020，(26)：11-13.
[2] 李晓红,王聪梅,吴洁.创伤急救干预小组在重症创伤患者急救中的作用[J].数理医药学杂志.2021，(12)：53-55.
[3] 饶婷,梁林丽,黄雪月.优化创伤急救流程在创伤患者救治中的临床效果[J].实用临床护理学电子杂志.2020，(17)：97-100.
[4] 彭晓婕,江振强,欧慧慧.探讨集束化护理干预策略在重型颅脑损伤术后患者预防呼吸机相关性肺炎中的实施效果[J].中国医药指南.2020，(17)：133.
[5] 周楚.个体化护理在感染性休克患者救治中的应用效果和措施分析[J].International Infections Diseases（Electronic Edition）.2020，(01)：167-169.
[6] 鲁潜乾,罗丽珊,王金宝,石艺哲,李帅兵,胡展华,古纪欢,胡涛.无缝隙急救护理在老年严重多发伤中的应用效果[J].中国城乡企业卫生.2020，(07)：199.
[7] 王金朋,林彦婷,王宇,孙云鹏.一体化创伤急救模式在严重多发伤合并失血性休克患者的抢救效果[J].中国病案.2020，(01)：225-255.
[8] 江腊梅,黄春梅,张露.一体化链式创伤急救护理模式对急性重创患者救治效果及满意度的影响[J].河北医药.2019，(23)：278-281.
[9] 黄文炼,刘鸿雁,尚娟,臧泽林,曹海泉,唐瑜.右美托咪定通过调控TLR4/My D88/NF-κB信号通路预防重型颅脑损伤患者PSH的疗效观察[J].海南医学院学报.2019，(24)：325-327.
[10] 龚嵩,庄杨帆,陈继革,白祥军,李占飞,高伟.Nickalls体表定位法腋静脉中心静脉置管在多发伤患者中的应用效果[J].中华创伤杂志.2019，(10)：377.
[11] 校爱芳,李玉凤,李雨凤,赵小燕,王君,顾彬,尤建权.院内一体化急救模式对急性缺血性脑卒中患者急救效果的探讨[J].中华急诊医学杂志.2019，(08)：421.
[12] 向庆勇,黎明,文家智.限制性与积极性液体复苏对伴多发伤的中重型颅脑损伤患者凝血功能和预后的影响[J].西部医学.2019，(06)：488-492.
[13] 张海莎,周方玲,吴祥燕.以初级创伤救治原则为基础的院前急救在急性颅脑损伤病人中的应用[J].全科护理.2021，(12)：520-521.
[14] 张素杰,乔于娟,仲瑞普.初级创伤救治院前急救护理对急性脑损伤患者预后的影响[J].齐鲁护理杂志.2021，(10)：783.
[15] Joubert Christophe,Sellier A,Morvan J-B,Beucler N,Bordes J,Dagain A.Vacuum-assisted closure （VAC） for craniocerebral wounds in severely injured patients: technical note of a damage control procedure.[J] .Journal of the Royal Army Medical Corps .2019， (6)：632-635.

引用本文

刘晴晴*,宋红. 基于创伤评分的一体化急救护理模式对多发伤患者救治时间及安全性的影响 [J]. 当代护理. 2022; 3; (3). 165 - 168.

文献评论

相关学者

相关机构