护理路径优化在颅脑损伤患者急诊抢救中的应用价值研究

Study on the application value of the optimization of nursing path in emergency rescue of patients with craniocerebral injury

目的:探讨护理路径优化模式在颅脑损伤患者急诊抢救中的应用价值。方法:选取在医院急诊科就诊的105例颅脑损伤患者,按照入院时间将其分为对照组(51例)和观察组(54例),对照组采用常规急诊护理模式;观察组采用急诊护理路径优化模式。急诊护理路径优化模式从路径构建、路径实施及路径评估进行动态循环管理。对比分析两组急救设备质量、护理满意度和治疗效果。结果:观察组急救设备开机率、故障维修周期、设备质检合格率以及安全隐患发生率好于对照组,组间差异有统计学意义(t=2.173,t=2.626,t=3.185,t=2.512;P<0.05);观察组护理人员的风险意识、护理规范及服务态度的满意度高于对照组,组间差异有统计学意义(t=2.400,t=2.292,t=2.508;P<0.05);观察组患者发生生命体征数据监测中断、留置针脱落、压疮等不良事件的比例低于对照组,组间差异有统计学意义(χ^(2)=4.142,χ^(2)=4.403,χ^(2)=4.370;P<0.05);观察组患者发生颅内感染、肺部感染、泌尿感染等并发症的比例低于对照组,组间差异有统计学意义(χ^(2)=5.559,χ^(2)=5.254,χ^(2)=4.403;P<0.05);观察组患者痊愈和轻度残疾的比例高于对照组,组间差异有统计学意义(χ^(2)=4.477,χ^(2)=4.543;P<0.05)。结论:急诊护理路径优化模式有效地提高了设备运行质量,提高了急诊医生和患者对护理人员的满意度,改善了临床急诊救治效果,具有较高的临床应用价值。

Objective:To explore the application value of optimization model of nursing path in emergency rescue of patients with craniocerebral injury.Methods:A total of 105 patients with craniocerebral injury who received treatment in hospital were selected.They were divided into control group(51 cases)and observation group(54 cases)according to the admission time.The control group adopted routine emergency care model,while the observation group adopted the optimized model of emergency care path.The optimization model of emergency nursing path conducted dynamic cycle management from three aspects:path construction,path implementation and path evaluation.The quality of first aid equipment,nursing satisfaction and treatment effect of two groups were further compared and analyzed.Results:The opening rate of emergency equipment,failure maintenance cycle,qualified rate of equipment quality inspection and the incidence of safety hidden danger in observation group were significantly better than those in control group,and the differences between two groups were statistically significant(t=2.173,t=2.626,t=3.185,t=2.512,P<0.05).The satisfaction degrees of patients for risk awareness,nursing standard and service attitude of nursing staffs in observation group were significantly higher than those in control group,and the differences of these between two groups were statistically significant(t=2.400,t=2.292,t=2.508,P<0.05).The proportions of adverse events included the monitoring interruption of vital sign data,“the indwelling needle falling off the body”,and pressure sores in observation group were significantly lower than those in control group(χ^(2)=4.142,χ^(2)=4.403,χ^(2)=4.370,P<0.05).The proportions of occurring intracranial infection,pulmonary infection,urinary infection and other complications in observation group were significantly lower than those in control group,and the differences of them between two groups were statistically significant(χ^(2)=5.559,χ^(2)=5.254,χ^(2)=4.403,P<0.05).The proportion of recovery and mild disability in observation group were significantly higher than those in control group,and the differences of them between two groups were statistically significant(χ^(2)=4.477,χ^(2)=4.543,P<0.05).Conclusion:The optimization model of emergency nursing path can effectively improve the operation quality of equipment,and increase the satisfaction of emergency doctors and patients to nursing staffs,and improve the treatment effect of clinical emergency rescue.It has higher clinical application value.