五常法在成批车祸伤员院前急救中的应用

5S in pre-hospital emergency care for batched car accident patients

目的探讨采用五常法对成批车祸伤员进行院前急救的效果。方法以2008年未实施五常法管理成批车祸伤员为对照组，2009--2010年实施五常法管理成批车祸伤员为观察组，分别对两组的出车时间、伤员安置时间、抢救成功率、物品完好率、技术满意度、护理工作满意度进行统计分析比较。结果观察组的各项效果比较均优于对照组，差异有统计学意义（t=6．74，14．36，4．25，5．33，4．51，3．82；P〈0．01）。结论五常法能有效提高成批车祸伤员院前急救的工作效率和工作质量，提高患者对护理工作的满意度。

Objective To investigate the effect of 5S on batched car accident patients in pre-hospital emergency care （5S refers to sorting, straightening, systematic cleaning, standardizing, and sustaining）. Methods Batched car accident patients who were not managed with 5S in 2008 as control group and those managed with 5S from 2009 to 2010 as experiment group were enrolled into the study. Time for getting out of the vehicle, displacement time, rescue success rate, intact items rate, technique satisfaction and nursing satisfaction in both groups were statistically analyzed. Results Compared with the control group, the effects of above mentioned items were better in the experiment group （t = 6. 74, 14. 36, 4. 25, 5.33, 4. 51, 3.82, P 〈 0. 01 ）. Conclusions 5S could effectively improve the efficiency and quality of emergency care for batched car accident patients, and raise their satisfaction towards nursing.