摘要
目的:探讨多学科协作诊疗(MDT)模式下的临床护理路径(CNP)对多发伤急诊患者救治成功率的影响,为临床护理提供依据。方法:选取2020年1月—2021年1月常州市第一人民医院收治的120例急性多发伤患者作为研究对象,按照随机数表法将其分为常规组和联合组,每组各60例。常规组采用常规急救护理,联合组在常规护理基础上实施MDT模式下的CNP护理。比较两组患者抢救时效、创伤严重程度[创伤严重程度(ISS)评分]、救治成功率、并发症发生情况。结果:联合组患者急诊停留时间、急诊检查时间及会诊医生到诊时间均明显短于常规组,差异有统计学意义(t=8.861、14.790、9.184,P<0.05)。护理后,两组患者ISS评分均低于护理前,且联合组低于常规组,差异有统计学意义(t=13.380,P<0.05)。两组患者救治成功率比较,差异无统计学意义(χ^(2)=1.365,P>0.05)。联合组患者并发症发生率明显低于常规组,差异有统计学意义(χ^(2)=15.790,P<0.05)。结论:MDT模式下的CNP护理能够提高多发伤急诊患者救治成功率,缩短急诊停留时间及检查时间,降低术后并发症发生率。
Objective:To investigate the impact of clinical nursing pathway(CNP)under multidisciplinary collaborative diagno-sis and treatment(MDT)model on the success rate of treatment for emergency patients with multiple injuries,and to provide a ba-sis for clinical care.Methods:120 patients with acute multiple injuries admitted to the hospital from January 2020 to January 2021 were selected as the study subjects,and were divided into the conventional group and the combined group according to the random number table method,with 60 cases in each group.The conventional group used conventional emergency care,and the com-bined group implemented CNP care under the MDT model on the basis of conventional care.The rescue time,trauma severity[trau-ma severity(ISS)score],rescue success rate,and complications of patients in the two groups were compared.Results:The emergen-cy stay time,emergency examination time and consulting physician arrival time of the combined group were significantly shorter than those of the conventional group,and the differences were statistically significant(t=8.861,14.790,9.184,P<0.05).After care,the ISS scores of patients in both groups were lower than before care,and the combined group was lower than the conventional group,and the difference was statistically significant(t=13.380,P<0.05).There was no statistically significant difference in the comparison of the success rate of rescue treatment between the two groups(χ^(2)=1.365,P>0.05).The complication rate of the com-bined group was significantly lower than that of the conventional group,and the difference was statistically significant(χ^(2)=15.790,P<0.05).Conclusion:CNP care in a MDT model can improve the success rate of saving patients with multiple injuries in the emergency room,shorten the emergency room stay and examination time,and reduce the occurrence of postoperative complications.
作者
冯小丹
Feng Xiaodan(Emergency Department,The First People’s Hospital of Changzhou,Changzhou,Jiangsu,213003,China)
出处
《黑龙江医学》
2024年第3期355-357,共3页
Heilongjiang Medical Journal
关键词
急诊多发伤
多学科协作诊疗模式
临床护理路径
救治成功率
Emergency multiple injuries
Multidisciplinary collaborative diagnosis and treatment model
Clinical nursing path-way
Treatment success rate
