急诊严重创伤性休克患者绿色护理通道的建立及实施效果分析

Effect analysis and establishment of green nursing channel for emergency patients with severe acute traumaticshock

目的观察建立急诊严重创伤性休克患者绿色护理通道对护理质量的影响。方法选择温州医科大学附属第二医院（育英儿童医院）成人急诊科2016年10月至2017年11月采用绿色护理通道进行护理的56例严重创伤性休克患者为研究组，同时选取2015年3月至2016年9月采用常规护理模式进行护理的42例严重创伤性休克患者为对照组。记录患者急诊室处理时间、特殊检查时间、急诊至手术室时间、入院至手术时间、窒息和多器官功能障碍综合征（MODS）发生率及抢救成功率；观察两组患者满意度。结果与对照组比较，研究组急诊窀处理时间（min：13．51±3．62比20．84±3．96）、特殊检查时间（min：16．30±4．05比23．71±4．16）、入院至手术时间（rain：42．61±7．98比57．83±7．46）均明显缩短（均P〈0．05），窒息[1．79％（1，56）比11．90％（5／42）]和MODS[3．57％（2／56）比16．67％（7／42）]发生率均明显降低（均JP〈0．05），抢救成功率明显增高[100．00％（56／56）比92．86％（39／42），P〈0．05]；研究组患者满意度明显高于对照组[96．43％（54／56）比83．3％（35／42），P〈0．05]。结论建立急诊严重创伤性休克患者绿色护理通道有助于提高急诊效率，缩短护七急诊反应时间，应用效果良好。

Objective To explore the effect of establishment of green nursing channel for emergency patients with severe acute traumatic shock on quality of nursing care. Methods Fifth-six patients with severe acute traumatic shock who received nursing by green nursing channel admitted to Department of Adult Emergency of Second Affiliated Hospital of Wenzhou Medical University （Yuying Children＇s Hospital） from October 2016 to November 2017 were assigned in the research group, and at the same time, 42 patients with the same disease adopted conventional nursing mode from March 2015 lo September 2016 were in the control group. The emergency treatment time, special inspection time, emergency to the operating room time, admission to operation time of patients, the incidences of the asphyxia and multiple organ dysfunction syndromes （MODS）, and success rate of rescue in the two groups were recorded; the degree of patients satisfaction were observed. Results The emergency room treatment time （minutes： 13.51±3.62 vs. 20.84 ± 3.96）, special inspection time （minutes： 16.30 ± 4.05 vs. 23.71 ± 4.16） and admission to operation time （minutes： 42.61±7.98 vs. 57.83 ±7.46） in the study group were significantly shorter （all P 〈 0.0fi）, the incidences of asphyxia and MODS in the study group were obviously lower than those in the control group [asphyxia： 1.79% （1/56） vs. 11.90% （5/42）, MODS： 3.57% （2/56） vs. 16.67% （7/42）, both P 〈 0.05], and the success rate of rescue in the study group was significantly higher than that in the control group [100.00% （56/56） vs. 92.86% （39/42）, P 〈 0.05]; the degree of patients satisfaction in the study group was obviously higher than that in the control group [96.43% （54/56） vs. 83.3% （35/42）], and the differences between the two groups were statistically significant （all P 〈 0.05）. Conclusion The establishment of a green nursing channel for emergency patients with severe acute traumatic shock is helpful to improve the emergency working efficiency, shorten the time for nursing emergency response, and its application effect is good.