急救绿色通道在重型颅脑损伤患者急救中的应用效果

Application of first aid green channel in the emergency patients with severe traumatic brain injury

目的 探讨急救绿色通道在重型颅脑损伤患者急救中的护理效果.方法 将130例重型颅脑损伤患者按随机数字表法随机分为观察组和对照组各65例.观察组患者采用急救绿色通道护理模式,对照组采用传统的护理方法,比较两组患者抢救时间、死亡率及满意度.结果 观察组患者的死亡率为15.2％,低于对照组的40.6％；抢救时间为（12.6±2.9）min,短于对照组的（16.1 ±2.0）min;满意度为100.0％,优于对照组的78.1％,差异均有统计学意义（x2/t分别为4.22,3.03,5.97;P ＜0.05）.结论 急救绿色通道改良护理程序增强了医护人员的急救意识,缩短了救治的空间和时间,提高了救治成功率及患者和家属对护理质量的满意度.

Objective To explore the effects of first aid green channel on the emergency patients with severe traumatic brain injury. Methods One hundred and thirty patients with severe traumatic brain iniury were chosen and randomly divided into two groups, each with 65 cases. The observation group received first aid green channel model of care, and the control group received the traditional nursing method of emergency medical cure. The time to save patients, mortality rate and patient satisfaction were compared between the two groups. Results The mortality rate was 15.2% in the observation group, and was lower than 40.6% in the control group; the time to save patients was （12.6 ± 2.9 ） rain, and was shorter than （16.1 ± 2.0） min in the control group; the patient satisfaction was 100.0% in the observation group, and was better than 78.1% in the controlgroup, and the differences were statistically significant （ X2/t = 4.22, 3.03, 5.97, respectively ; P 〈 O. 05 ）. Conclusions First aid green channel can improve nursing procedures, enhance the medical and nursing staffs＇ awareness of first aid, shorten the treatment of space and time, improve the treatment success rate, and patients or their families to the satisfaction of the quality of care.