4R危机管理理论下预警干预模式对胸外伤围手术期护理满意度及并发症的影响

Influence of early warning intervention mode under 4R crisis management theory on perioperative nursing satisfaction and complications of patients with thoracic trauma

目的研究4R危机管理理论下预警干预模式在胸外伤患者围手术期中的应用价值。方法选取2020年6月至2022年5月南阳市第一人民医院收治的胸外伤患者108例作为研究对象,采用随机抽签法分为对照组、研究组,各54例。对照组男29例,女25例,年龄(42.79±3.84)岁,采用常规护理方式;研究组男31例,女23例,年龄(43.12±4.06)岁,在对照组的基础上实施4R危机管理理论下预警干预模式。比较两组各项急诊指标、救治效果、生活能力[Barthel指数(Barthel index,BI)]及护理满意度,采用χ^(2)、t检验进行统计分析。结果研究组院前急救反应时间、确诊时间、抢救时间分别为(10.59±1.32)min、(30.48±4.85)min、(36.75±5.29)min,均短于对照组[(12.48±1.87)min、(36.72±5.03)min、(42.48±5.34)min],两组比较,差异均有统计学意义(均P<0.05)。研究组抢救成功率[94.44%(51/54)]高于对照组[74.07%(40/54)],危机事件发生率[3.70%(2/54)]、并发症发生率[1.85%(1/54)]均低于对照组[14.81%(8/54)、14.81%(8/54)],两组比较,差异均有统计学意义(均P<0.05)。干预后,研究组BI评分[(67.35±4.52)分]、护理满意度[96.30%(52/54)]均高于对照组[(53.88±4.19)分、83.33%(45/54)],两组比较,差异均有统计学意义(均P<0.05)。结论4R危机管理理论下预警干预模式可提高急诊效率及抢救成功率,减少危机事件及并发症发生率,有利于提高胸外伤患者生活能力及护理满意度。

Objective To study the application value of early warning intervention mode under 4R crisis management theory in the perioperative period of patients with thoracic trauma.Methods One hundred and eight patients with thoracic trauma admitted to Nanyang First People's Hospital from June 2020 to May 2022 were selected as the study objects,and were divided into a control group and a study group by lottery,with 54 in each group.There were 29 males and 25 females in the control group who were(42.79±3.84)years old.There were 31 males and 23 females in the control group who were(43.12±4.06)years old.The control group took routine nursing;in addition,the study group implemented early warning intervention mode under 4R crisis management theory.The emergency indicators,treatment effects,life abilities[Barthel index(BI)],and nursing satisfaction were compared between the two groups.χ^(2) and t tests were applied.Results The prehospital emergency response time,diagnosis time,and rescue time in the study group were shorter than those in the control group[(10.59±1.32)min vs.(12.48±1.87)min,(30.48±4.85)min vs.(36.72±5.03)min,and(36.75±5.29)min vs.(42.48±5.34)min],with statistical differences between the two groups(all P<0.05).The rescue success rate and the incidences of crisis events and complications in the study group were better than those in the control group[94.44%(51/54)vs.74.07%(40/54),3.70%(2/54)vs.14.81%(8/54),and 1.85%(1/54)vs.14.81%(8/54)],with statistical differences between the two groups(all P<0.05).After the intervention,the BI score and nursing satisfaction in the study group were higher than those in the control group[(67.35±4.52)vs.(53.88±4.19)and 96.30%(52/54)vs.83.33%(45/54)],with statistical differences between the two groups(both P<0.05).Conclusion Early warning intervention mode under 4R crisis management theory for patients with thoracic trauma can improve the emergency efficiency and rescue success rate,reduce the incidences of crisis events and complications,and improve their living ability and nursing satisfaction.