无缝衔接一体化急救护理模式在事故所致的急性创伤后伤口感染患者急救中的应用

Application of seamless integrated emergency care mode in emergency treatment of patients with accident-induced acute posttraumatic wound infection

目的研究无缝衔接一体化急救护理模式在事故所致的急性创伤后伤口感染患者急救中的应用.方法将2021年1月-2022年1月就诊于郑州大学第一附属医院急诊外科的80例事故所致的急性创伤后伤口感染患者采用抓阄法分为常规组40例、无缝衔接组40例.常规组患者行急救护理模式干预,无缝衔接组患者采用无缝衔接一体化急救护理模式进行干预.对比两组急救效果、相关时间指标、并发症及护理满意度情况.结果在患者确诊时间、急诊至手术时间、急诊至病房时间、住院时间上对比,无缝衔接组均短于常规组(P<0.05);与常规组相比,无缝衔接组格拉斯哥昏迷评分(GCS)、格拉斯哥预后评分(GOS)及抢救成功率、护理满意度提升(P<0.05);匹兹堡睡眠质量量表(PSQI)、疼痛评分(VAS)、并发症发生率较低(P<0.05).结论无缝衔接一体化急救护理模式在事故所致的急性创伤后伤口感染患者急救中的效果理想,可明显降低患者术后疼痛程度,并提高患者睡眠质量.

OBJECTIVE To study effect of seamless integrated emergency care mod on emergency treatment of the patients with accident-induced acute posttraumatic wound infection.METHODS A total of 80 patients with acci-dent-induced acute posttraumatic wound infection who were treated in emergency surgery department of the First Affiliated Hospital of Zhengzhou University from Jan 2021 to Jan 2022 were enrolled in the study and were divided into the conventional group with 40 cases and the seamless group with 40 cases by drawing lots.The conventional group was treated with emergency nursing moder intervention,and the seamless group was given the seamless in-tegrated emergency nursing mode intervention.The first aid effect,relevant time indexes,complications and satis-faction with nursing were observed and compared between the two groups.RESULTS The time of diagnosis,inter-val between emergency treatment and surgery,interval between emergency treatment and admission to ward,and length of hospital were significantly shorter in the seamless group than in the conventional group(P<0.05).The Glasgow coma score(GCS),Glasgow outcome score(GOS),rate of successful rescue and satisfaction with nurs-ing were significantly higher in the seamless group than in the conventional group(P<0.05).The Pittsburgh sleep quality scale(PSQI),pain score and incidence of complications were significantly lower in the seamless group than in the conventional group(P<0.05).CONCLUSION The seamless integrated emergency care model can achieve re-markable effect on emergency treatment of the patients with accident-induced acute posttraumatic wound infec-tion,significantly alleviate the postoperative pain degree and improve the sleeping quality of the patients.