一体化链式创伤急救护理模式结合预见性创伤护理 在多发伤患者急诊救治中的应用效果

Application effect of integrated chain trauma emergency nursing mode combined with predictive trauma nursing in emergency treatment of patients with multiple injuries

目的探讨一体化链式创伤急救护理模式结合预见性创伤护理在多发伤患者急诊救治中的应用效果。方法选取2019年12月至2020年12月我院收治的86例多发伤患者作为研究对象,按照护理方案将其分为对照组和观察组,各43例。对照组给予传统急救模式,观察组在对照组基础上给予一体化链式创伤急救护理模式结合预见性创伤护理。比较两组的护理效果。结果观察组的院前急救时间、多科会诊时间、检查完成时间、急诊-手术时间、急诊抢救时间均短于对照组(P<0.05)。护理后,观察组的ISS评分低于对照组,CRAMS评分高于对照组(P<0.05)。观察组诊间处理、急诊留观的患者占比低于对照组,专科病房、ICU的患者占比高于对照组(P<0.05)。结论一体化链式创伤急救护理模式结合预见性创伤护理用于多发伤患者急诊救治中,可提高急救效率,改善患者的创伤程度及预后,值得推广应用。

Objective To explore the application effect of integrated chain trauma emergency nursing mode combined with predictive trauma nursing in emergency treatment of patients with multiple injuries.Methods A total of 86 patients with multiple injuries treated in our hospital from December 2019 to December 2020 were selected as the research objects.The patients were divided into control group and observation group according to the nursing scheme,with 43 cases in each group.The control group was given traditional emergency mode,and the observation group was given integrated chain trauma emergency nursing mode combined with predictive trauma nursing on the basis of the control group.The nursing effects of the two groups were compared.Results The pre-hospital first aid time,multi-disciplinary consultation time,inspection completion time,emergency to operation time,emergency rescue time of the observation group were shorter than those of the control group(P<0.05).After nursing,the ISS score of the observation group was lower than that of the control group,while the CRAMS score was higher than that of the control group(P<0.05).The proportions of patients with inter diagnosis treatment and emergency observation in the observation group were lower than those in the control group,and the proportions of patients in special ward and ICU were higher than those in the control group(P<0.05).Conclusion Integrated chain trauma emergency nursing mode combined with predictive trauma nursing in emergency treatment of patients with multiple injuries can improve the emergency treatment efficiency,ameliorate degree of trauma and prognosis of patients,which is worthy of popularization and application.