白金十分钟救护模式在院前急救中的应用效果观察

Observation on the effect of platinum ten minutes ambulance mode in pre-hospital emergency

目的探讨在院前急救中施加白金十分钟救护模式的应用效果。方法选取该院急诊科2015年1月~2016年6月进行院前急救的患者816例。对急救患者疾病分类构成比情况、心肺复苏相关影响因素进行描述性调查分析。根据分析结果选取分类构成比较大并对白金十分钟干预措施作用敏感的两类疾病患者(心脑血管病和猝死)作为后期干预研究的目标人群。选取2015年6月~2016年6月该院因心脑血管病和猝死实施院前急救的患者273例。按照疾病类型分成两层,以分层随机分组的方式,形成干预组129例,对照组144例。对照组行常规院前急救程序,干预组在此基础上实施白金十分钟救护模式。比较两组患者致残率、病死率、住院时间、护理满意度以及医疗纠纷发生率情况。结果基线调查结果显示,该院院前急救疾病构成比分布前三位是心脑血管、猝死和其他科室疾病。影响院前急救心肺复苏率的因素为信息接收准确、心源性疾病、疾病描述清晰度以及抢救半径。根据基线调查数据进行的干预研究显示,两组患者致残率、病死率、住院时间以及护理满意度比较,差异均有统计学意义(均P<0.05)。结论在院前急救中施加白金十分钟救护模式,对提高救护时效性,填补"救护盲区"的救护与医疗空白,改善患者预后,缩短住院时间,提升护理满意度有一定的作用。

Objective To explore the effect of platinum ten minutes ambulance mode in pre-hospital emergency.Methods From January 2015 to June 2016,a total of 816 patients who underwent pre-hospital emergency treatment in the emergency department of the hospital were selected.Descriptive investigation and analysis were conducted on the composition ratio of disease classification and the influencing factors of cardiopulmonary resuscitation in emergency patients.According to the analysis results,patients with two types of diseases (cardiovascular and cerebrovascular diseases and sudden death) with relatively large classification and sensitivity to platinum 10-minute intervention measures were selected as the target population for the later intervention study.From June 2015 to June 2016,273 patients who received pre-hospital emergency treatment due to cardiovascular and cerebrovascular diseases and sudden death in the hospital were selected.Divided into two layers according to disease types,129 cases in the intervention group and 144 cases in the control group were randomly divided into two layers.The control group received routine pre-hospital emergency procedures,and the intervention group implemented platinum 10-minute rescue mode on this basis.The morbidity,mortality,length of hospital stay,nursing satisfaction and incidence of medical disputes were compared between the two groups.Results The results of baseline investigation showed that the proportion of prehospital emergency diseases in the hospital was dominated by cardiovascular and cerebrovascular diseases,sudden death and other diseases. The factors influencing the rate of pre-hospital emergency cardiopulmonary resuscitation were accurate information reception,cardiogenic diseases,clarity of disease description and rescue radius. Intervention studies based on baseline survey data showed that there were statistically significant differences in disability rate,case fatality rate,length of stay and nursing satisfaction between the two groups(P<0.05).Conclusion Applying platinum 10-minute rescue mode in pre-hospital first aid has certain effects on improving the rescue timeliness,filling the rescue and medical blank of " blind area of rescue" ,improving the prognosis of patients,shortening hospitalization time and improving nursing satisfaction.