VIPC抢救程序指导下多发伤并创伤性休克患者救治及急救能力成效评价

The VIPC rescue procedure guides the evaluation of the effectiveness of the treatment and emergency capabilities of patients with multiple injuries and traumatic shock

目的探讨VIPC抢救程序指导下多发伤并创伤性休克患者救治效果及对护理急救能力的影响。方法选取本院急诊科2018年1月至2018年12月实施常规护理急救的多发伤并创伤性休克患者60例作为对照组,将2019年1月至2019年12月通过预设模拟病例并应用VIPC抢救程序指导护理急救能力培训期间接收的60例同类患者作为观察组。对比两组患者的急救成效及两时间段内护士急救能力考核成绩。结果观察组患者抢救成功率为93.55%(58/62),对照组为83.33%(50/58),观察组明显高于对照组(P<0.05);观察组死亡率为6.5%(4/62),对照组为16.67%(10/60),观察组明显低于对照组(P<0.05);观察组平均救治起效时间为(2.32±1.43)h,对照组为(3.12±1.23)h,观察组有效救治明显优于对照组(P<0.05);两组不良事件发生率分别为3.23%(2/62)和16.67%(10/60),观察组明显低于对照组(P<0.05);观察组时间段内的护士急救能力考核各项平均值均明显高于对照组(P<0.05)。结论通过预设模拟病例并应用VIPC抢救程序指导护理急救能力培训,急诊科护士急救能力得到了明显提升,多发伤并创伤性休克患者的平均救治起效时间明显缩短,患者抢救成功率明显提高,不良事件明显减少。

Objective:To explore the therapeutic effect of multiple injuries with traumatic shock under the guidance of VIPC rescue program and its influence on first-aid nursing ability.Methods:A total of 60 patients with multiple injuries and traumatic shock who received conventional first-aid nursing from the emergency department of our hospital from January 2018 to December 2018 were selected as the control group,and 60 similar patients who received simulated cases and VIPC rescue program to guide first-aid nursing ability training from January 2019 to December 2019 were selected as the observation group.The results of first aid and the first aid ability of nurses in the two groups were compared.Results:The success rate of rescue was 93.55%(58/62)in the observation group and 83.33%(50/58)in the control group,which was significantly higher than that in the control group(P<0.05).The mortality of the observation group was 6.5%(4/62)and that of the control group was 16.67%(10/60),which was significantly lower than that of the control group(P<0.05).The average effective time of treatment was(2.32±1.43)h in the observation group and(3.12±1.23)h in the control group.The effective treatment in the observation group was significantly better than that in the control group(P<0.05).The incidence of adverse events was 3.23%(2/62)and 16.67%(10/60)in the observation group,which was significantly lower than that in the control group(P<0.05).The average values of first-aid ability tests of nurses in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Through presetting simulated cases and applying VIPC rescue program to guide the training of nursing first-aid ability,the first-aid ability of nurses in the emergency department has been significantly improved,the average effective time of treating patients with multiple injuries and traumatic shock has been significantly shortened,the success rate of rescuing patients has been significantly improved,and the adverse events have been significantly reduced.