基于急诊危重度指数的改良预警评分急诊护理在脑创伤患者中的应用

Application of emergency nursing based on emergency criticality index in the treatment of patients with traumatic brain injury

目的探讨基于急诊危重度指数(ESI)联合改良预警评分(MEWS)的急诊护理在脑创伤患者救治中的应用效果。方法选取2018年6月—2019年6月抚州市临川区第一人民医院急诊科收治的脑创伤患者110例,根据入院时间分为对照组(n=55,2018年6月—12月)及观察组(n=55,2019年1月—6月),对照组入院后行常规分诊,观察组入院后应用ESI分级及MEWS评分对患者进行评分,并给予针对性护理。比较2组患者的急诊分诊效果和急诊分诊效率。结果观察组患者分诊准确率、抢救成功率、家属满意率均高于对照组(P<0.05),24h不良事件发生率、护患纠纷发生率、不良事故投诉率低于对照组(P<0.05)。观察组入院后分诊时间、等待救治时间、急诊救治时间均短于对照组(P<0.05)。结论基于ESI联合MEWS评分的急诊护理,能有效降低急诊脑创伤患者院内不良事件发生率,提高救治效果及救治安全性。

Objective To explore the application of emergency care based on emergency critical index(ESI)in the treatment of patients with traumatic brain injury.Methods 110 cases of patients with traumatic brain injury were enrolled in the emergency department from June 2018 to June 2019.The patients were divided into control group(n=55,June 2018 to December 2018)and observation group(n=55,January 2019 to June 2019)according to the patient admission time.The control group was received with emergency routine care after delivery to the hospital and the observation group was assigned was assessed with Emergency Critical Value Index(ESI)to hospital after the hospital.Targeted care was performed on patients with different ESI scores.The treatment outcomes,adverse event rates,and patient satisfaction rates of two groups were compared.Results The accuracy of triage,success rate of rescue,and satisfaction rate of family members of observation group were higher than before implementation(P<0.05),while incidence of adverse events,the incidence of nurses and patients,and rate of complaints of adverse accidents were lower than control group(P<0.05).The time of triage,waiting for treatment,and emergency treatment of observation group were shorter than control group(P<0.05).Conclusion The emergency criticality index can effectively reduce the incidence of adverse events in patients with emergency brain injury,improve the treatment effect and safety of patients.