摘要
目的 探讨急救护理路径对严重创伤患者绿色通道停留时间的影响.方法 于2014年采用急救护理路径,选取实施前（2012年1月—2013年12月）在浙江省余姚市人民医院救治的严重创伤患者58例;选取实施后（2014年1月—2015年12月）救治的严重创伤患者61例,比较实施前后患者绿色通道停留时间与相关辅助检查时间及其达标率、并发症发生率及早期病死率.结果 实施急救护理路径救治后与实施路径救治前比较,急诊室停留时间、抽血及相关检查时间、相关科室人员到达时间、病情不稳患者会诊及抢救时间、术前准备时间及绿色通道停留时间均明显缩短,差异均有统计学意义（t值分别为10.965、5.632、4.965、8.562、7.251、5.146;P〈0.01）.实施急救护理路径救治后,各项达标率均得到明显提升,差异均有统计学意义（χ2值分别为4.023、4.388、4.621、4.128、4.547、4.714;P〈0.05）.实施急救护理路径救治前有11例发生并发症,占18.97%;早期死亡7例,其中4例为严重颅脑损伤,3例为严重失血休克.实施急救护理路径救治后有3例发生并发症,占4.92%;早期死亡1例,为严重颅脑损伤.实施前后患者并发症发生率和早期病死率比较,差异均有统计学意义（χ2值分别为4.465、4.507;P〈0.05）.结论 对严重创伤患者实施急救护理路径救治能明显缩短绿色通道停留时间,使患者在最短的时间得到救治,降低并发症发生率和早期病死率,对严重创伤患者的抢救有积极意义.
Objective To explore the effects of emergency treatment nursing pathway on residence time of green channel in patients with severe trauma.Methods The emergency treatment nursing pathway was implemented in 2014. A total of 58 patients with severe trauma in Yuyao People＇s Hospital of Zhejiang Province were selected before implementation （from January 2012 to December 2013）. A total of 61 patients with severe trauma were selected after implementation （from January 2014 to December 2015）. The residence time of the green channel, time of accessory examination, standard-reaching rate, incidence of complication and early mortality were compared before and after implementation.Results Compared with these before implementing pathway treatment and cure, the residence time in emergency room, time of drawing blood and related inspection, arrival time of staff in related departments, time of consultation of doctors and rescue in patients with unstable illness, time of preoperative preparation, residence time of the green channel after implementing emergency treatment nursing pathway all significantly shortened with significant differences （t=10.965, 5.632, 4.965, 8.562, 7.251, 5.146;P〈0.01）. After implementing emergency treatment nursing pathway, all standard-reaching rates improved with significant differences （χ2=4.023, 4.388, 4.621, 4.128, 4.547, 4.714;P〈0.05）. There were 11 patients （18.97%） with complications, 7 patients with early death （four patients with severe head injury, three patients with severe hemorrhagic shock） before emergency treatment nursing pathway. After implementing emergency treatment nursing pathway, there were three patients （4.92%） with complications, 1 patient with early death （severe head injury）. There were statistically significant differences in incidence of complication and early mortality before and after implementation （χ2=4.465, 4.507;P〈0.05）. Conclusions The implementation of emergency treatment nursing pathway treatment and cure can obviously shorten the residence time of the green channel, provide treatment and cure for patients in the shortest time, decrease the incidence of complication and early mortality with a positive meaning for rescue of patients with severe trauma.
出处
《中华现代护理杂志》
2017年第16期2145-2148,共4页
Chinese Journal of Modern Nursing
关键词
急救护理路径
严重创伤
绿色通道
停留时间
Emergency treatment nursing pathway
Severe trauma
Green channel
Residence time
