降阶梯思维方式在颅脑损伤病人救治中的应用

Effect of de-escalation thinking mode in treating craniocerebral injury

目的:探讨降阶梯思维方式在颅脑损伤病人救治中的应用效果。方法:将2015年6月至2016年6月应用降阶梯思维方式进行救治的60例颅脑损伤病人作为观察组,将2014年6月至2015年5月以传统经验思维进行救治的60例颅脑损伤病人作为对照组,记录2组救治成功率、护患纠纷发生率、家属满意率、预警时间、急诊救治时间、静脉通道建立时间及分诊评估时间。结果:观察组救治成功率、家属满意率均明显高于对照组,并发症发生率、护患纠纷发生率均低于对照组(P<0.05~P<0.01)。观察组预警时间、急诊救治时间、静脉通道建立时间及分诊评估时间均明显短于对照组(P<0.01)。结论:降阶梯思维方式能有效缩短颅脑损伤病人预警时间,可为病人争取最佳的治疗时机,提高救治成功率,减少医疗纠纷,提高家属满意率。

Objective:To explore the effects of de-escalation thinking mode in treating traumatic brain injury.Methods:Sixty craniocerebral trauma patients treated with de-escalation thinking mode from June2015to June2016and60craniocerebral trauma patients treated with traditional thinking mode from June2014to May2015were divided into the observation group and control group,respectively.The treatment success rate,medical dispute,family satisfaction rate,early warning time,emergency treatment time,venous channel establishment time and evaluation time in two groups were recorded.Results:The treatment success rate and satisfaction rate in observation group were significantly higher than those in control group,and the incidence rates of complication and nurse-patient dispute in observation group were lower than those in control group(P<0.05to P<0.01).The warning time,emergency treatment time,establishment time of the venous channel and evaluation time in observation group were significantly shorter than those in control group(P<0.01).Conclusions:The de-escalation thinking mode can effectively shorten the early warning time of patients with craniocerebral trauma,whcih can provide the best treatment time for patients,improve the success rate of treatment,reduce the medical disputes and improve the satisfaction rate of the family members.