创伤院前急救与院内救治智能手术网络系统无缝对接的护理配合

Nursing cooperation ofpre-hospital emergency trauma and hospital treatment intelligent network operation system seamless docking

目的 探讨创伤院前急救与院内救治智能手术网络系统无缝对接的护理配合.方法 在2016年7月1日至11月30日建立创伤院前急救与院内救治智能手术网络系统（TPEITS）并应用于56例需手术治疗的创伤患者急救中,在院前急救的同时通过TPEITS系统进行院内CT、B超等检查的预约,申请开通检查绿色通道,缩短患者检查等待时间,进行检查预约的同时通过TPEITS系统进行手术室和急救人员的预约,申请开启手术室的绿色通道,缩短患者手术等待时间,并在院前和院内急救时进行相关护理配合,统计患者的有效救治时间（发病到手术时间）、抢救成功率、住院时间、患者满意度等.并以2016年2月1日至6月30日常规院前急救和院内手术治疗和护理的急救创伤患者32例为对照.比较TPEITS和常规模式的有效救治时间、抢救成功率、住院时间、患者满意度等.结果 TPEITS系统有效救治时间和住院时间分别为（42.26 ± 5.47）min和（36.45 ± 9.85）d,短于常规模式的（78.53 ± 16.78）min和（48.28 ± 12.55）d,差异有统计学意义（t=14.902、4.897,P〈0.05）;而TPEITS抢救成功率和患者满意度分别为94.64%（53/56）和92.86%（52/56）,高于常规模式的75.00%（24/32）和68.75%（22/32）,差异有统计学意义（x2=5.500、8.846,P〈0.05）.结论 创伤院前急救与院内救治智能手术网络系统无缝对接结合良好的护理配合可缩短急诊反应时间,缩短手术准备时间,提高抢救效果和患者满意度,值得临床推广.

Objective To explore the nursing cooperation ofpre-hospital emergency trauma and hospital treatment intelligent network operation system seamless docking. Methods 56 cases of traumatic patients had surgical treatment in the hospital from July 1,2016 to November 30,2016 had pre-hospital emergency trauma hospital treatment intelligent network operation system （TPEITS） applied in emergency saving, at the same time of pre-hospital first aid, by CT and ultrasound B checking hospital appointments was finished with TPEITS system to open checking green channel and shorten the checking waiting time of patients. When the booking checking, operating room and emergency personnel appointment was finished through TPEITS system, open the green channel of the surgery, shorten the surgery patients waiting time,and in pre-hospital and hospital emergency care coordination were applied. Effective treatment time （patients disease onset to surgery time）, rescue success rate, length of hospital stay and patients′satisfaction of the patients were statistically analyzed.And 32 cases of emergency trauma patients had normal pre-hospital emergency, hospital surgical treatment and nursing from February 1, 2016 to June 30,2016 were taken as control group.TPEITS system and regular pattern effective treatment time, rescue success rate, length of hospital stay and patients′ satisfaction, etc were compared. Results Effective treatment time and hospital stay of TPEITS system were（42.26±5.47）min and（36.45±9.85）d respectively,which were shorter than the（78.53±16.78）min and（48.28±12.55）d of regular pattern.And rescue success rate and patients′satisfaction of TPEITS system were 94.64%（53/56）and 92.86%（52/56） respectively,which were higher than the 75.00%（24/32）and 68.75%（22/32）of regular pattern（x2=5.500, 8.846, P〈0.05）. Conclusions Pre- hospital emergency trauma combined with hospital treatment intelligent network operation system seamless docking with good nursing can shorten the emergency response time, shorten the operation prepare time, improve the rescue effect and patient satisfaction,therefore,it worth clinical promotion.