群体创伤患者急救中实施全程护理的效果观察

The Full-course Nursing Effect of Traumatic Groups in the Duration of First Aid

目的探讨群体性创伤院内急救护理模式,提高群体创伤院内抢救成功率,提高患者的满意度。方法按就诊时间的顺序将患者分为两组,2006年12月—2007年7月的群体伤患者采用分工护理法,2007年8月—2008年3月的群体创伤患者采用全程护理法。即分别为分工护理组及全程护理组,分工护理组61例采用将护士分为登记组、治疗护理组、观察组、运输组,对群体患者进行抢救护理;全程护理组50例采用责任护士与辅助护士全程负责2～4例患者的接诊、抢救及安全转送工作。观察记录两组患者的抢救成功率、有效抢救时间、患者的满意度。结果全程护理组的抢救成功率、患者的满意度、抢救有效时间均显著优于分工护理组。结论在群体创伤患者急救中实施全程护理服务,可有效地提高群体创伤患者的抢救成功率,缩短有效抢救时间,提高患者的满意度,降低医疗风险。

Objective To explore the emergency nursing mode for traumatic groups so as to raise the success rate of in-hospital rescue of traumatic groups as well as the satisfaction rate. Methods The method of nursing labor division was used upon 61 traumatic patients from December 2006 to July 2007 were nursed, while the method of full-course nursing upon another 50 cases from August 2007 to March 2008. In the former group, the nurses were divided into registration group, nursing group, observation group, and transportation group, while in the latter, duty nurses and auxiliary nurses were in charge of reception, rescue and transportation of 2～4 patients for a full course. The rescue success rate, effective rescue time and patient＇ s satisfaction rate were recorded from the two groups and compared. Results The rescue success rate, effective rescue time and patient＇s satisfaction rate of the former group were all significantly higher than those of the latter group. Conclusion The full-course nursing to traumatic groups is effective in raising the success rate of rescue, shortening rescue time and raising patient＇ s satisfaction so that the medical risk is lowered.