45例重型颅脑损伤患者急救中的护理路径实施效果研究

Implementation effect of emergency process nursing path in 45 patients with severe craniocerebral injury

目的探讨急救护理路径在重型颅脑损伤患者抢救中的应用价值。方法将2014年6—11月收治的采用急救护理路径的重型颅脑损伤患者45例作为观察组,2014年1—5月收治的采用常规急救护理流程的重型颅脑损伤患者45例作为对照组,比较2组患者的抢救效率,抢救效果以及家属的护理满意度。结果观察组的监护吸氧、开通静脉、送往CT室、留置导尿的时间均短于对照组,比较差异有统计学意义(P<0.05);观察组的死亡率低于对照组,抢救费用少于对照组,家属的护理满意度高于对照组,比较差异有统计学意义(P<0.05)。结论急救护理路径能够提高重型颅脑损伤的急救效率,降低患者的死亡率,改善护患关系。

Objective To explore the application value of emergency nursing path in rescue of patients with severe craniocerebral injury. Methods A total of 45 severe craniocerebral injury pa- tients in our hospital from June to November in 2014 were given emergency process nursing path and designed as observation groups, 45 cases of severe craniocerebral injury patients in our hospital from January to May in 2014 were given routine emergency nursing process and designed as control group. The rescue efficiency, the rescue effect and nursing satisfaction of family members were compared between two groups. Results The time of oxygen monitoring, opened vein, sent to the CT room, indwelling catheter in the observation group was significantly shorter than the control group （P 〈 0.05）. Mortality rate in the observation group was lower than the control group, rescue costs was less than the control group, and nursing satisfaction of family members was higher than the control group （P 〈 0.05）. Conclusion ciency of severe craniocerebral injury patients, tient relationship. Emergency nursing path can improve emergency effi- reduce the mortality rate and improve the nurse - pa