院前急救护理干预在创伤性休克患者抢救中的作用

Study on the rescue effect of pre-hospital emergency nursing intervention on patients with traumatic shock

目的探讨实施院前急救护理干预在创伤性休克患者抢救中的作用.方法选取2016年9月13日~2018年9月13日该院急诊科救治的创伤性休克患者103例,根据接诊模式的不同将患者分为对照组(51例)和研究组(52例).对照组患者由家属直接将患者送入诊室救治,研究组通过120接诊并给予一体化护理体系的院前急救护理措施,而后送入诊室救治.比较两组患者的抢救介入时间、抢救成功率及并发症发生情况.结果研究组患者抢救介入时间平均为(18.72±2.19)min,对照组的抢救介入时间平均为(39.53±2.48)min,差异有统计学意义(P<0.05);研究组患者的抢救成功率为96.15%,对照组的抢救成功率为82.35%,差异有统计学意义(P<0.05);研究组患者的并发症发生率为5.77%,对照组的并发症发生率为19.61%,差异有统计学意义(P<0.05).结论一体化护理模式下院前急救护理干预可以缩短创伤性休克患者抢救介入时间,提高抢救率,降低并发症发生率,对提高患者生命质量有重要意义,适合在临床工作中大规模普及.

Objective To observe the effect of pre-hospital emergency nursing intervention on the rescue effect of patients with traumatic shock.Methods A total of 103 patients with traumatic shock who were treated in the emergency department of our hospital from September 13,2016 to September 18,2018 were selected.The subjects were divided into the control group(51 cases)and the study group(52cases)according to the different modes of admission.The patients in the control group were directly admitted by their families to the clinic for treatment.The study group received 120 patients and gave the integrated nursing system of pre-hospital emergency care measures,and then sent to the clinic for treatment.The rescue intervention time,rescue success rate and complications were compared between the two groups.Results The mean rescue intervention time of the study group was(18.72±2.19)minutes,while the mean rescue intervention time of the control group was(39.53±2.48)minutes,and the difference was statistically significant(P<0.05).The rescue success rate of patients in the study group was 96.15%,and the rescue success rate of patients in the control group was 82.35%,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was 5.77%,and that in the control group was 19.61%,with statistically significant difference(P<0.05).Conclusions Pre-emergency nursing intervention can shorten the intervention time of traumatic shock patients,improve the rescue rate,reduce the incidence of complications,improve the quality of life of patients is of great significance,suitable for the large-scale popularization in clinical work.