损伤控制理念在严重创伤患者急救护理中的应用研究

Application of damage control concept in emergency care of patients with severe trauma

目的探讨损伤控制理念在严重创伤患者急救护理中的应用效果。方法选取2019年7月至2020年6月南通大学附属医院急诊收治的45例严重创伤患者为研究对象即观察组,其中男性25例,女性20例;年龄14~74岁,平均36.8岁;在急救护理中采取损伤控制理念。以2018年7月至2019年6月43例严重创伤患者作为对照组,其中男性22例,女性21例;年龄13~75岁,平均37.8岁。对照组按照常规急救护理措施,比较分析两组患者的护理效果。结果观察组患者从分诊到入院或急诊手术时间[(54.7±7.3)min]短于对照组[(108.9±8.5)min],t=32.14,P<0.01。观察组患者和家属满意度97.78%高于对照组79.07%,χ^(2)=7.04,P<0.01。观察组在治疗效果(存活率、并发症发生和病死率)方面优于对照组,χ^(2)=4.13,P<0.05。结论损伤控制理念应用于严重创伤患者急救护理全过程,有效提高了救护效果,提高了患者和家属满意度。

Objective To explore the effect of damage control concept in emergency care of patients with severe trauma.Methods Forty-five patients with severe trauma in the Affiliated Hospital of Nantong University admitted from July 2019 to June 2020 were reviewed as the treatment group,and 43 cases of severe trauma patients admitted from July 2018 to June 2019 were reviewed as the control group.The patients in the treatment group were treated in the concept of damage control in first aid nursing,comparing with the control group which was treated according to the routine emergency nursing measures.Results The time from triage to hospitalization or emergency surgery in the treatment group[(54.7±7.3)min]were shorter than that in the control group[(108.9±8.5)min](t=32.14,P<0.01).The satisfaction of the patients and their family members in the treatment group was 97.78%,which was higher than the control group(79.07%)(χ^(2)=7.04,P<0.01).The treatment group was better than the control group in the treatment effect(survival rate,complication and mortality)(χ^(2)=4.13,P<0.05).Conclusion The concept of damage control applied to the whole process of emergency nursing for patients with severe trauma effectively improves the treatment effect and the satisfaction of patients and their families.