基于多学科协作团队的急救护理路径在创伤性休克患者中的应用

Application of emergency nursing pathway based on multidisciplinary team in patients with traumatic shock

目的:探讨基于多学科协作团队(MDT)的急救护理路径在创伤性休克患者中的应用效果。方法:选取2018年1月—2019年12月连云港市第一人民医院急诊抢救室收治的创伤性休克患者200例为研究对象。其中2018年1—12月收治的112例患者为对照组,给予常规急救护理措施;2019年1—12月收治的108例患者为观察组,实施基于MDT的急救护理路径。比较两组患者院内抢救反应时间、抢救结果和家属满意度差异。结果:观察组患者抢救介入时间为(8.4±5.8)min,急诊停留时间为(15.0±4.3)min,术前准备时间为(10.4±3.2)min,低于对照组的(14.1±6.7)、(19.7±4.1)、(13.6±3.5)min,差异均有统计学意义(P<0.05)。观察组抢救成功率高于对照组(90.7%vs.73.2%)、患者多器官功能障碍综合征发生率低于对照组(7.4%vs.17.0%)、窒息发生率低于对照组(4.6%vs.13.4%),差异均有统计学意义(P<0.05)。观察组患者家属满意度评分高于对照组[(40.8±3.6)vs.(37.4±3.8)分],差异有统计学意义(P<0.05)。结论:基于MDT的急救护理路径可缩短创伤性休克患者的院内抢救反应时间,提高抢救成功率和患者家属满意度,降低并发症发生率。

Objective To explore the effect of multidisciplinary team(MDT)based emergency nursing pathway in patients with traumatic shock.Methods A total of 200 patients with traumatic shock who were admitted to Emergency Room of Emergency Department in the First People's Hospital of Lianyungang from January 2018 to December 2019 were selected as research objects.Among them,112 patients admitted from January to December 2018 were set as the control group and they were given routine emergency nursing measures,and 108 patients admitted from January to December 2019 were set the observation group and implemented the emergency nursing pathway based on MDT.The differences in rescue response time,rescue results and family satisfaction were compared between the two groups.Results The rescue intervention time of the observation group was(8.4±5.8)min,the emergency stay time was(15.0±4.3)min and the preoperative preparation time was(10.4±3.2)min,which was lower than(14.1±6.7),(19.7±4.1),(13.6±3.5)min of the control group,and the differences were statistically significant(P<0.05).The success rate of rescue of the observation group was higher than that of the control group(90.7%vs.73.2%),the incidence of multiple organ dysfunction syndrome was lower than that of the control group(7.4%vs.17.0%)and the incidence of asphyxia was lower than that of the control group(4.6%vs.13.4%),and the differences were statistically significant(P<0.05).The satisfaction score of family members of the observation group was higher than that of the control group[(40.8±3.6)vs.(37.4±3.8)],and the differences were statistically significant(P<0.05).Conclusions MDT-based emergency nursing pathway can significantly shorten the rescue response time of patients with traumatic shock,improve the success rate of rescue and satisfaction of family members and reduce occurrence rate of complications.