优化创伤急救护理流程在创伤急救患者中的应用效果

王师婧

[摘要]目的 探讨优化创伤急救护理流程提高医疗护理质量的临床效果。方法 选取2018年3月～2019年3月我院急诊科收治的66例创伤急救患者为研究对象，按入院顺序分为对照组（n=33）和观察组（n=33）。对照组使用常规急救护理流程，观察组给予优化创伤急救护理流程。比较两组急救用时、救治成功率及两组护理总满意度。结果 观察组出车用时、分诊耗时、静脉用药时间和治疗时间短于对照组，差异均有统计学意义（P<0.05）;观察组救治总成功率为96.97%，高于对照组的81.82%，差异有统计学意义（P<0.05）;观察组护理总满意度为90.91%，高于对照组的69.70%，差异有统计学意义（P<0.05）。结论 优化创伤急救护理流程有助于缩短创伤急救患者急救护理用时，显提升救治成功率及护理满意度，进而提高医疗护理质量。

[关键词]创伤急救;优化护理流程;护理质量;急救效率

[中图分类号] R473.6          [文献标识码] A          [文章编号] 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

近幾年随着国内经济水平上升，人们对护理质量的要求也逐渐升高[1]，往往关系患者病情是否继续恶化及患者健康。急诊科作为医院接诊患者最多科室，患者通常有病情危急、变化速度快特点，对急救效率及医疗护理质量提出了更高要求[2]。同时急诊科也是院内最早接触患者的科室，其急救流程合理性将直接决定患者急救质量，对保障患者健康意义重大，而急救过程本与时间赛跑，且在急诊科工作繁忙重压下，患者病情极易恶化发展，尽早接受治疗是提高救治成功率的关键[3]。对创伤急救护理流程进行改进，是目前临床提高急诊救治效率和成功率的普遍做法[4]。研究基于我院实际情况优化创伤急救护理流程，探讨优化后流程对医疗护理质量的影响，现报道如下。