个案跟踪结合循证护理在急性多发伤病人护理中的应用体会

Application Experience of Case Tracing Combined with Evidence-Based Nursing in the Nursing of Patients with Acute Multiple Trauma

目的:探讨个案跟踪结合循证护理在急性多发伤病人护理中的应用价值。方法:选取2016年5月~2018年6月我院急诊科救护的106例急性多发伤患者为研究对象。我院急诊科自2017年6月引进个案跟踪结合循证护理模式,随机选择2016年5月~2017年5月收治的患者53例为对照组,2017年6月~2018年6月收治的患者53例为观察组。对照组患者予以常规护理,观察组患者采用个案跟踪结合循证护理。比较两组患者抢救成功率、救护车到达时间、有效抢救时间、住院时间、术后并发症发生率等差异性,比较两组家属满意度。结果:观察组患者抢救成功率高于对照组,术后并发症发生率低于对照组(P <0.05);观察组救护车到达时间、有效抢救时间、住院时间均明显短于对照组(P <0.05),家属在等候时间、急救技术、反应速度、信息沟通、健康教育、人文关怀等6个维度的满意度评分均高于对照组(P <0.05)。结论:对急性多发伤病人采取个案跟踪结合循证护理可有效提高其抢救成功率,减少术后并发症发生,并能缩短急救时间和住院时间,还可提高家属对护理的满意度。

Objective:To explore the application value of case tracing combined with evidence-based nursing in the nursing of patients with acute multiple trauma.Methods:A total of 106 patients with acute multiple trauma who were rescued from the emergency department of our hospital from May 2016 to June 2018 were selected for the study.Case tracing combined with evidence-based nursing was introduced in emergency department of our hospital since June 2017,and 53 cases who were admitted from May 2016 to May 2017 were randomly selected as control group,and 53 cases admitted from June 2017 to June 2018 were selected as observation groups.Control group was given routine nursing,and observation group was given case tracing combined with evidence-based nursing.The rescue success rate,ambulance arrival time,effective rescue time,hospital stay and incidence rate of postoperative complications were compared between the two groups,and the family satisfaction of the two groups was compared.Results:The rescue success rate in observation group was higher than that in control group,and the incidence rate of postoperative complications was lower than that in control group(P<0.05).The ambulance arrival time,effective rescue time and hospital stay in observation group were significantly shorter than those in control group(P<0.05),and the family satisfaction scores of 6 dimensions of waiting time,first aid technology,response speed,information communication,health education and humanistic care were higher than those in control group(P<0.05).Conclusions:Case tracing combined with evidence-based nursing for patients with acute multiple trauma can effectively improve the rescue success rate,reduce postoperative complications,shorten the first aid time and hospital stay,and improve the family satisfaction towards nursing.