循证护理在严重外伤患者院前急救中的应用及其效果分析

Application and effect analysis of evidence-based nursing in pre hospital first aid for severe trauma patients

目的观察循证护理在创伤患者院前急救护理中的应用效果。方法选取2015年6~9月于我院急救拨打120急救电话中有意外伤害、或者交通事故患者作为本实验的研究患者,收治120例,随机分为对照组和观察组,每组60例;对照组采用一般的院前急救方案使用常规护理,观察组在对照组使用常规护理基础上实施循证护理。结果实验中进行问卷调查后医护与患者沟通情况、医护人员态度、外伤知识掌握、对紧急状况处理观察组的分数明显高于对照组(P<0.05);护理过程中感染比例差异有统计学意义(P<0.05),而疼痛指数、评分对照组也要高于观察组,差异有统计学意义(P<0.05)。结论在创伤患者中实施循证护理,可提高护理满意度,因此可以在临床工作中推广应用。

Objective To observe the effect of evidence-based nursing in pre hospital care for trauma patients.Methods From June 2015 to September 2015,120 cases with accidental injury or traffic accident patients in 120 emergency calls in our hospital were selected as a study of the patients in this experiment.The patients were randomly divided into the control group and the observation group,with 60 cases in each group.The patients in control group were given the general pre hospital emergency plan to use routine nursing,the patients in observation group were given evidence-based nursing on the basis of routine nursing.Results After a questionnaire survey,the scores of communication between medical care and patients,medical staff attitude,mastery of trauma knowledge,and emergency treatment of observation group were significantly higher than those in the control group(P<0.05).The proportion of infection in nursing process was statistically different(P<0.05),while pain index and score in control group were also higher than those in observation group(P<0.05).Conclusion Evidence-based nursing in trauma patients can improve nursing satisfaction,so it can be applied in clinical work.