優化創傷急救護理流程在創傷急救患者中的應用效果

王師婧

[摘要]目的 探討優化創傷急救護理流程提高醫療護理質量的臨床效果。方法 選取2018年3月～2019年3月我院急診科收治的66例創傷急救患者為研究對象，按入院順序分為對照組（n=33）和觀察組（n=33）。對照組使用常規急救護理流程，觀察組給予優化創傷急救護理流程。比較兩組急救用時、救治成功率及兩組護理總滿意度。結果 觀察組出車用時、分診耗時、靜脈用藥時間和治療時間短于對照組，差異均有統計學意義（P<0.05）;觀察組救治總成功率為96.97%，高于對照組的81.82%，差異有統計學意義（P<0.05）;觀察組護理總滿意度為90.91%，高于對照組的69.70%，差異有統計學意義（P<0.05）。結論 優化創傷急救護理流程有助于縮短創傷急救患者急救護理用時，顯提升救治成功率及護理滿意度，進而提高醫療護理質量。

[關鍵詞]創傷急救;優化護理流程;護理質量;急救效率

[中圖分類號] R473.6? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-4721（2020）5（b）-0215-03

Application effect of optimizing the nursing process of trauma first aid in trauma patients

WANG Shi-jing

Department of Emergency， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an? ?343000， China

[Abstract] Objective To discuss the application effect of optimizing the nursing process of trauma first aid in trauma patients. Methods A total of 66 cases of trauma emergency patients admitted to our hospital from March 2018 to March 2019 were selected as the research objects. They were divided into control group （n=33） and observation group （n=33） by order of admission. The control group was used routine first aid nursing process， the observation group was used optimize the process of trauma emergencynursing. The first aid time， success rate and nursing satisfaction of the two groups were compared. Results The vehicle time， triage time， intravenous medication time and treatment time in observation group was shorter than those in control group， the differences were statistically significant （P<0.05）. The total success rate of the observation group was 96.97%， higher than 81.82% in control group， the difference was significant （P<0.05）. The nursing total satisfaction of observation group was 90.91%， higher than 69.70% in control group， the difference was significant （P<0.05）. Conclusion Optimizing the process of trauma first aid nursing can shorten the time of emergency nursing， improve the success rate of treatment and nursing satisfaction， then improve the quality of medicalnursing.

[Key words] Trauma first aid; Optimizing nursing process; Quality of nursing; Emergency treatment efficiency

近幾年隨著國內經濟水平上升，人們對護理質量的要求也逐漸升高[1]，往往關系患者病情是否繼續惡化及患者健康。急診科作為醫院接診患者最多科室，患者通常有病情危急、變化速度快特點，對急救效率及醫療護理質量提出了更高要求[2]。同時急診科也是院內最早接觸患者的科室，其急救流程合理性將直接決定患者急救質量，對保障患者健康意義重大，而急救過程本與時間賽跑，且在急診科工作繁忙重壓下，患者病情極易惡化發展，盡早接受治療是提高救治成功率的關鍵[3]。對創傷急救護理流程進行改進，是目前臨床提高急診救治效率和成功率的普遍做法[4]。研究基于我院實際情況優化創傷急救護理流程，探討優化后流程對醫療護理質量的影響，現報道如下。