院前院内一体化急救护理模式在多发伤患者抢救中的效果评价

Effect evaluation of integrated pre-hospital and in hospital emergency nursing mode in rescuing patients with multiple injury

目的 探究院前院内一体化急救护理模式在急诊科抢救多发伤患者的临床效果。方法 选取2018年6月—2020年6月医院多发伤患者93例为研究对象,采用组间基本资料匹配的原则分为观察组(52例)和对照组(41例)。观察组实施院前院内一体化急救护理模式,对照组采用常规急救护理模式,比较两组患者入院时及入ICU时血乳酸值和血红蛋白值、院前急救反应时间、就诊到达时间、评估时间、急诊抢救室救治时间、核血备血时间、到达手术室或重症监护室时间、患者或家属对护理工作的满意度。结果 观察组院前急救反应时间、就诊到达时间、评估时间、急诊抢救室救治时间、核血备血时间、到达手术室或重症监护室时间均短于对照组,组间比较差异均有统计学意义(P<0.05);入ICU时观察组乳酸值低于对照组,血红蛋白值高于对照组,组间比较差异有统计学意义(P<0.05);观察组患者或家属对护理工作的满意程度高于对照组,组间比较差异具有统计学意义(P<0.05)。结论 院前院内一体化急救护理模式提高了多发伤患者的救治效果和满意程度。

Objective To explore the clinical eff ect of the integrated pre-hospital and in hospital emergency care model in the emergency department for rescuing patients with multiple injuries.Methods A total of 93 patients with multiple injuries in hospitals from June 2018 to June 2020 were selected as the research subjects.They were divided into an observation group(52 cases)and a control group(41 cases)using the principle of matching basic data between groups.The observation group implemented an integrated pre-hospital and in hospital emergency care model,while the control group adopted a conventional emergency care model.The blood lactate and hemoglobin values,pre-hospital emergency response time,arrival time,evaluation time,emergency room treatment time,nuclear blood preparation time,arrival time in the operating room or intensive care unit,and patient or family member satisfaction with nursing work were compared between the two groups of patients Results The pre-hospital emergency response time, arrival time, evaluation time, emergency room treatment time,nuclear blood preparation time, and arrival time in the operating room or intensive care unit in the observationgroup were shorter than those in the control group, and the differences between the groups were statisticallysignifi cant(P<0.05). When entering the ICU, the lactate value of the observation group was lower than that of thecontrol group, while the hemoglobin value was higher than that of the control group, and the diff erences betweenthe groups were statistically signifi cant(P<0.05). The patient or family member satisfaction with nursing workin the observation group was higher than that in the control group, and the diff erence between the groups wasstatistically signifi cant(P<0.05). Conclusion The integrated pre-hospital and in hospital emergency nursing modelhad improved the treatment eff ectiveness and satisfaction of patients with multiple injuries.