快捷护理路径在重症颅脑损伤患者急救中的应用

目的评价快捷护理路径在重症颅脑损伤患者急救中的应用效果。方法将2016年1月至8月医院急诊共抢救重症颅脑损伤患者226例,纳入对照组,给予常规急救护理;2017年1月至8月,医院急诊共抢救重症颅脑损伤患者256例,纳入观察组,在分析原有护理操作存在的问题后,进行针对性改进,制订并落实快捷护理路径。结果观察组28d内死亡率、脑疝形成、呼吸衰竭、危象及并发症总发生率均低于对照组,差异有统计学意义(P<0.05)。观察组从接收到气管切开的时间、抵院到送入急救室的时间,GOS恢复到10分及以上的时间均低于对照组,差异有统计学意义(P<0.05)。结论在重症颅脑损伤患者急救中应用快捷护理路径,可提高抢救的成功率和抢救质量。

Objective To evaluate the effect of fast nursing path in the first aid of patients with severe craniocerebral injury.Methods From January to August in 2016,226 cases of severe craniocerebral injury rescued in the hospital emergency department were selected as the control group.From January 2017 to August,256 cases of severe craniocerebral injury rescued in the emergency department of our hospital were selected as the observation group.After analyzing the existing problems of the original nursing operation,we made targeted improvement and formulated the shortcut nursing path.Results The incidence of mortality,hernia formation,respiratory failure,crisis and complications in the observation group was lower than that in the control group within 28 d(P<0.05).The tracheotomy time,hospital arrival to the emergency room,GOS returned to 10 minutes and above time in the observation was lower than those in the control group(P<0.05).Conclusion The application of fast nursing path in the first aid of severe craniocerebral injury patients can improve the efficiency and quality of rescue.