急诊创伤团队的护理时效分析

Analysis of time efficiency of nursing under the mode of trauma team in emergency department

目的分析创伤团队模式下急诊严重多发伤患者的护理时效指标变化。方法选取9项护理操作,将其操作时间作为指标,追踪记录2015年1—5月于某综合性三级甲等医院急诊就诊的82例Ⅰ级多发伤的患者数据,回顾性查阅2014年同时期85例患者的数据作为对照组,进行一般资料及相关指标的比较。结果两组性别、年龄、修正创伤评分、受伤时间和受伤机制的比较,差异无统计学意义(P>0.05);两组在护理团队到达时间、颈托及脊柱板的使用时间、血常规和血型送检时间、第一次CT检查时间、止血药使用及复温时间上的比较,差异有统计学意义(P<0.01)。结论急诊创伤团队模式能明显缩短护理救治时间,保障了患者安全。

Objective To analyze indicators of time efficiency under the mode of trauma team for nursing patients with severe multiple injuries in emergency room. Methods Nine nursing practices were selected as indicators for time efficiency. Data of 82 level I trauma patients（the observation group） in a tertiary hospital from January to May in 2015 were collected and compared with data of 85 patients（the control group） during same period in 2014. Results There were no differences in gender,age,RTS score,injury time and mechanism of injuries between two groups（P〉0.05）; but the time of indicators such as team arrival,usage of cervical protector and spine board,blood routine test and blood type test,CT scanning,usage of hemostatics and rewarming in the observation group were significantly short than those in the control group（P〈0.01）. Conclusion The time of nursing and rescue under the mode of trauma team was short and the mode of trauma team could guarantee patients＇ safety.