基于创伤评估的分级护理在急诊创伤患者中的应用效果及对急救时间的影响

Application effect of graded nursing based on trauma assessment in emergency trauma patients and its influence on the first aid time

目的探讨基于创伤评估的分级护理在急诊创伤患者中的应用效果及对急救时间的影响。方法选取2019年7月至2021年7月收治的200例急诊创伤患者作为研究对象,按照诊治时间顺序将其分为对照组(2019年7月至2020年7月)与研究组(2020年8月至2021年7月),每组100例。对照组开展常规护理,研究组开展基于创伤评估的分级护理。比较两组的干预效果。结果研究组的分诊评估时间、急诊科停留时间及总抢救时间均短于对照组(P<0.05)。研究组的轻型创伤、中型创伤以及重型创伤的评估准确率均高于对照组(P<0.05)。干预24 h后,研究组的5-羟色胺(5-HT)、前列腺素E2(PGE2)、P物质(SP)、促肾上腺皮质激素(ACTH)、去甲肾上腺素(NE)及皮质醇(Cor)水平均低于对照组(P<0.05)。结论基于创伤评估的分级护理在急诊创伤患者中的应用效果良好,可显著缩短急救时间,提高伤情评估准确率,减轻疼痛程度及应激反应,促使患者尽早康复。

Objective To explore application effect of graded nursing based on trauma assessment in emergency trauma patients and its influence on the first aid time.Methods A total of 200 emergency trauma patients admitted from July 2019 to July 2021 were selected as the research objects.According to the time sequence of diagnosis and treatment,the patients were divided into control group(July 2019 to July 2020)and study group(August 2020 to July 2021),with 100 cases in each group.The control group carried out routine nursing,and the study group carried out graded nursing based on trauma assessment.The intervention effects of the two groups were compared.Results The triage evaluation time,emergency department stay time and total rescue time of the study group were shorter than those of the control group(P<0.05).The evaluation accuracy of mild trauma,moderate trauma and severe trauma in the study group were higher than those in the control group(P<0.05).After 24 h of intervention,the levels of 5-hydroxytryptamine(5-HT),prostaglandin E2(PGE2),substance P(SP),adrenocorticotropic hormone(ACTH),norepinephrine(NE)and cortisol(Cor)in the study group were lower than those in the control group(P<0.05).Conclusion Graded nursing based on trauma assessment in emergency trauma patients has good application effect,which can significantly shorten the first aid time,improve the accuracy of injury assessment,reduce the degree of pain and stress response,and promote the early recovery of patients.