急诊严重创伤患者中应用急诊快速 反应团队模式对护理时效的影响
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(郑州大学第一附属医院,河南 郑州 450000)

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豆路行,男,主管护师,主要研究方向是急救学。

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R 641

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Effect of Emergency Rapid Response Team Model on Nursing Timeliness in Severe Trauma Patients
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(The First Affiliated Hospital of Zhengzhou University, Henan Zhengzhou 450000)

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    摘要:

    〔摘 要〕 目的:探究急诊严重创伤患者中应用急诊快速反应团队模式对护理时效的影响。方法:选取郑州大学第 一附属医院 2019 年 3 月至 2020 年 9 月期间进行急诊治疗的 230 例严重创伤患者作为研究对象,根据就诊时间,将其 分为对照组及观察组,各 115 例。对照组患者行常规干预,观察组患者实施急诊快速反应团队模式干预,比较两组患 者各项护理时效、生命支持完成情况、护理质量及不良情况发生率。结果:观察组患者各项护理措施时间均显著低于 对照组,差异具有统计学意义(P < 0.05)。观察组患者的高级生命支持 8 min 完成率及确定性手术 30 min 完成率分 别为 90.43 % 及 83.48 %,均显著高于对照组,差异具有统计学意义(P < 0.05)。观察组患者的急诊护理质量评分为 (91.52 ± 3.42)分,显著高于对照组的(74.18 ± 5.39)分,差异具有统计学意义(P < 0.05)。观察组患者的投诉事 件、纠纷事件、风险事故及差错事件发生率分别为 0.00 %、0.87 %、0.87 % 及 1.74 %,均显著低于对照组的 2.61 %、 4.35 %、3.48 % 及 4.35 %,差异具有统计学意义(P < 0.05)。结论:对急诊严重创伤患者实施急诊快速反应团队 模式,能够有效提高护理时效及护理质量,同时对降低不良情况发生率具有重要意义。

    Abstract:

    〔Abstract〕 Objective To explore the effect of emergency rapid response team model on nursing timeliness in severe trauma patients. Methods A total of 230 cases of severe trauma patients treated in the emergency department of the First Affiliated Hospital of Zhengzhou University from March 2019 to September 2020 were selected as the research objects. According to the time of visit, they were divided into a control group and an observation group, with 115 cases in each group. Patients in the control group received routine intervention, and patients in the observation group received emergency rapid response team model intervention. The nursing effectiveness, completion of life support, nursing quality and incidence of adverse conditions were compared between the two groups. Results The time of nursing measures in the observation group was significantly shorter than that in the control group, the difference was statistically significant (P < 0.05). The 8 min completion rate of advanced life support and 30 min completion rate of deterministic surgery in the observation group were 90.43% and 83.48%, respectively, which were significantly higher than those in the control group, with statistical significances (P < 0.05). The score of emergency nursing quality in the observation group was (91.52 ± 3.42) points, which was significantly higher than (74.18 ± 5.39) points in the control group, with statistical significance (P < 0.05). The incidence rates of complaint events, dispute events, risk accidents and error events in the observation group were 0.00%, 0.87%, 0.87% and 1.74%, respectively, which were significantly lower than 2.61 %, 4.35 %, 3.48 % and 4.35 % in the control group, with statistical significances (P < 0.05). Conclusion The implementation of emergency rapid response team model for severe emergency trauma patients can effectively improve the nursing timeliness and nursing quality, and has important significance to reduce the incidence of adverse events.

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  • 收稿日期:2022-02-09
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  • 在线发布日期: 2022-08-11
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