摘要
目的探析在急诊急救中采用基于应急预案的无缝衔接一体化急救护理模式的临床应用价值。方法从2021年1~12月厦门大学附属第一医院急诊科抢救的患者中选择符合纳入标准的102例患者进行回顾性分析,根据不同的护理方式将纳入研究的患者按照一般资料均衡可比的原则将其分为对照组(51例,常规抢救护理)和观察组(51例,基于应急预案的无缝衔接一体化急救护理模式)。对比两组护理后的急救效率、患者家属护理满意评分,同时评估两组预后,包括病死率、不良事件发生率、急诊救治成功率、ICU入住率。结果对照组医师接诊时间、多科会诊等候时间、预检评估时间、辅助检查时间、急诊抢救时间、转运至手术室时间均长于观察组(P<0.05);观察组患者家属护理满意各方面评分均高于对照组(P<0.05);观察组急诊抢救成功率为100.00%,高于对照组的92.16%(P<0.05);观察组不良事件发生率及ICU入住率分别为3.92%、1.96%,均低于对照组的19.61%、15.69%(P<0.05);观察组病死率低于对照组,但差异无统计学意义(P>0.05)。结论在急诊急救中采用基于应急预案的无缝衔接一体化急救护理模式可获得确切效果,在提高急救效率与急救成功率、降低病死率与不良反应率方面存在明显优势,改善病情,拉近护患关系,提高满意度。
Objective To explore the clinical application value of seamless integration of emergency care mode based on emergency plan in emergency first aid.Methods A total of 102 patients rescued from the emergency department of the First Affiliated Hospital of Xiamen University from Januaryto December 2021 who met the inclusion criteria were selected for retrospective analysis.According to different nursing methods,patients included in the study were divided into control group(51 patients,routine rescue nursing)and observation group(51 patients,observation group)according to the principle of balanced and comparable general data.Seamless integrated emergency care mode based on emergency plan.The first aid efficiency and nursing satisfaction scores of patients'family members were compared between the two groups,and the prognosis of the two groups was evaluated,including mortality rate,incidence of adverse events,success rate of emergency treatment and ICU occupancy rate.Results The receiving time,waiting time for multi-department consultation,pre-examination evaluation time,auxiliary examination time,emergency rescue time and transport time to the operating room of the control group were all longer than those of the observation group(P<0.05).Observation group was higher than control group in all aspects of nursing satisfaction scores(P<0.05).The success rate of emergency rescue in observation group was 100.00%,which was higher than that in control group(92.16%)(P<0.05).The incidence of adverse events and ICU occupancy in observation group were 3.92%and 1.96%,respectively,lower than 19.61% and 15.69% in control group(P<0.05).The death rate of the observation group was lower than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion In emergency first aid,the seamless integration of emergency nursing mode based on emergency plan can obtain exact results,which has obvious advantages in improving the efficiency and success rate of first aid,reducing the rate of death and adverse reactions,improving the condition,narrowing the relationship between nurse and patient,and improving satisfaction.
作者
梁晔桦
LIANG Yehua(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《中国医药指南》
2023年第25期174-177,共4页
Guide of China Medicine
关键词
急诊抢救
应急预案
无缝衔接一体化急救护理模式
急救效率
Emergency rescue
Emergency plan
Seamless integrated emergency care model
First aid efficiency
