重症胸外伤伤员入院3天内直接护理项目及时数分析

Analysis of Direct Nursing Items and Time Span Within Three Days after Hospitalization of Patients with Severe Thoracic Trauma

目的 观察平时重症胸外伤伤员入院3 天内直接护理项目与时数,探讨未来海战时胸外科的人力资源培养和选拔。方法 采用PRN分类方法统计44名重症胸外伤伤员入院后第1、2、3天所接受的护理项目及时数,为适应海战需要,经过医疗、护理专家的筛选,将5 类28 项直接护理项目作为筛选后保留项目。结果 重症胸外伤伤员入院3天内接受直接护理时数最高,其筛选后项目第1 天所接受直接护理时数与第2、3天所接受的直接护理时数在统计学上具有显著性差异(P <0.05),其中治疗、诊断类护理项目接受人次多,护理工作量大。结论 重症胸外伤伤员入院3天内护理任务重,但前3天之间护理工作量有显著性差异。

Objective To observe the direct nursing items and time span within 3 days after hospitalization of patients with severe thoracic trauma and probe into the cultivation and selection of manpower resources in the field of thoracalsurgery in the future sea war. Methods The nursing items and time span in 44 patients with severe thoracic trauma were recorded at 1d, 2d, 3d using PRN categorization method. In order to meet the needs in the sea war, 28 direct nursing items in 5 categories were screened out as remaining items after being screened by medical and nursing experts. Results The time span was the biggest at 3d after hospitalization in the patients with severe thoracic trauma. For all the items after being screened, the direct nursing time span at 1st day was different from 2nd and 3rd day statistically （P 〈 0.05）. Among them, treatment and diagnosis nursing items involved the largest number of patients, and nursing workload is large. Conclusions The nursing workload is the largest in 3d in caring patients with severe thoracic trauma and the nursing workload has differences for the first 3 days.