全程综合护理干预在急诊脑外伤患者院内转运中的应用效果

Application of full process comprehensive nursing on the transport of emergency brain trauma patients

目的：探讨全程综合护理干预在急诊脑外伤患者院内转运中的临床效果。方法对我院收治的100例急诊脑外伤患者进行回顾性分析。2012年6月—2013年5月收治的50例患者作为对照组,接受常规院内转运护理；2013年6月—2014年5月收治的50例患者作为观察组,接受全程综合护理干预。比较两组患者转运时间、检查等待时间、转运不良事件发生率及接收科室满意度。结果观察组转运中不良事件发生率为4.00%,显著低于对照组的16.00%,差异有统计学意义（χ2=4.000,P 〈0.05）；观察组转运时间、检查等待时间为（10.54±4.47）,（0.44±0.19）min,对照组分别是（16.43±5.21）,（1.57±0.26）min,差异有统计学意义（t分别为6.067,24.813；P〈0.05）；观察组转运科室满意度满意率为96.00%,显著高于对照组的84.00%（χ2=4.000,P〈0.05）。结论全程综合护理干预缩短了急诊脑外伤患者院内转运时间及检查等待时间,减少了院内转运中不良事件的发生,提高了科室满意度,值得临床重视。

Objective To investigate the effects of full process comprehensive nursing on the transport of emergent and brain trauma patients. Methods A total of 100 brain trauma patients in Emergency Department accepted retrospective analysis, in which 50 patients received routine transport nursing from June 2012 to May 2013 in our hospital as control group while 50 cases accepted full process comprehensive nursing intervention from June 2013 to May 2014 as observation group. We compared the transit time, check the waiting time, transport rates of adverse events and receiving departments′ satisfaction between the two groups. Results The incidence rate of adverse transfer event was 4% in the observation group, which was significantly lower than that in the control group （16%） （χ2 =4. 000,P 〈0. 05）. The transit time, check the waiting time in the observation group were （10. 54 ± 4. 47） min and （0. 44 ± 0. 19） min, which were lower than these of the control group [（16.43 ±5.21）min and （1.57 ±0.26）min], （t=6.067, 24.813;P〈0.05）; the receiving transport departments′ satisfaction rate of observation group was 96%, significantly higher than that in the control group which was 84% （χ2 =4. 000,P〈0. 05）. Conclusions For emergency brain trauma patients, full process comprehensive nursing intervention can reduce the time of transiting and waiting for check. It also can reduce the occurrence of adverse events in hospital transport and improve receiving departments′satisfaction, so it is worthy of clinical attention.