应急预案急救流程配合绿色通道在急诊眼外伤患者护理中的实施效果

Application of emergency plan first aid process with green channel in patients with emergency eye ocular trauma

目的探讨应急预案急救流程配合绿色通道在急诊眼外伤患者护理中的应用效果。方法选取2020年1-12月医院收治的急诊眼外伤患者56例作为对照组,并选取30名急诊护理人员作为护理人员对照组;选取2021年1-12月医院收治的急诊眼外伤患者56例作为观察组及30名急诊护理人员作为护理人员观察组。对照组实施常规护理,观察组实施应急预案急救流程配合绿色通道护理模式。比较两组患者救治效率、并发症发生率、Zung焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、对护理满意程度。对比两组护理人员的应急能力考核成绩。结果观察组患者分诊时间、伤口处置时间以及住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者眼球保留率略高于对照组,但差异无统计学意义(P>0.05)。观察组患者总并发症发生率少于对照组,差异有统计学意义(P<0.05)。护理干预前,两组患者SAS和SDS评分的比较,差异无统计学意义(P>0.05);护理干预后,观察组患者SAS和SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者对护理满意程度高于对照组,差异有统计学意义(P<0.05)。观察组护理人员理论和操作考核成绩均高于对照组,差异有统计学意义(P<0.05)。结论应急预案急救流程配合绿色通道模式能有效缩短急诊眼外伤患者的分诊、救治及住院时间,减少并发症发生率,改善患者负性情绪,更符合患者需求,提高了护理人员的急救能力。

Objective To explore the application effect of emergency planfirst aid process cooperate with green channel in emergency eye trauma patients.Methods 56 cases of emergency eye trauma patients admitted to the hospital from January to December 2020 were selected as the control group,and 30 emergency nursing staffwere selected as the nursing staffcontrol group,56 cases of emergency eye trauma patients admitted to the hospital from January to December 2021 were selected as the observation group and 30 emergency nursing staff were selected as the nursing staffobservation group.The control group implements routine care,and the observation group implements the emergency planfirst aid process with green channel care process.To observe the rescue efficiency,complication rate,Zung Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)and satisfaction with nursing care of patients in the two groups.Comparison of the two groups of nursing personnel's emergency capacity assessment scores.Results The triage time,wound disposal time and hospitalisation time of patients in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The eye retention rate of patients in the observation group was slightly higher than that of the control group,but the difference was not statistically significant(P>0.05).The total complication rate of patients in the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).Before nursing intervention,the comparison of Self-rating Anxiety Scale(SAS)and depression Self-rating Depression Sacle(SDS)scores between the two groups of patients,the difference was not statistically significant(P>0.05).After nursing intervention,SAS and SDS scores of the patients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The rate of patients'satisfaction with nursing care in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The theoretical and operational assessment scores of nursing staff in the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Emergency planningfirst aid process with green channel mode can effectively shorten the triage,treatment and hospitalisation time of emergency ocular trauma patients,reduce the incidence of complications,improve the patients'adverse psychological mood,more in line with the needs of the patients,and improve thefirst aid ability of nursing staff.