王師婧

[摘要]目的 探討優(yōu)化創(chuàng)傷急救護理流程提高醫(yī)療護理質(zhì)量的臨床效果。方法 選取2018年3月～2019年3月我院急診科收治的66例創(chuàng)傷急救患者為研究對象，按入院順序分為對照組（n=33）和觀察組（n=33）。對照組使用常規(guī)急救護理流程，觀察組給予優(yōu)化創(chuàng)傷急救護理流程。比較兩組急救用時、救治成功率及兩組護理總滿意度。結(jié)果 觀察組出車用時、分診耗時、靜脈用藥時間和治療時間短于對照組，差異均有統(tǒng)計學意義（P<0.05）;觀察組救治總成功率為96.97%，高于對照組的81.82%，差異有統(tǒng)計學意義（P<0.05）;觀察組護理總滿意度為90.91%，高于對照組的69.70%，差異有統(tǒng)計學意義（P<0.05）。結(jié)論 優(yōu)化創(chuàng)傷急救護理流程有助于縮短創(chuàng)傷急救患者急救護理用時，顯提升救治成功率及護理滿意度，進而提高醫(yī)療護理質(zhì)量。

[關(guān)鍵詞]創(chuàng)傷急救;優(yōu)化護理流程;護理質(zhì)量;急救效率

[中圖分類號] R473.6? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 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

近幾年隨著國內(nèi)經(jīng)濟水平上升，人們對護理質(zhì)量的要求也逐漸升高[1]，往往關(guān)系患者病情是否繼續(xù)惡化及患者健康。急診科作為醫(yī)院接診患者最多科室，患者通常有病情危急、變化速度快特點，對急救效率及醫(yī)療護理質(zhì)量提出了更高要求[2]。同時急診科也是院內(nèi)最早接觸患者的科室，其急救流程合理性將直接決定患者急救質(zhì)量，對保障患者健康意義重大，而急救過程本與時間賽跑，且在急診科工作繁忙重壓下，患者病情極易惡化發(fā)展，盡早接受治療是提高救治成功率的關(guān)鍵[3]。對創(chuàng)傷急救護理流程進行改進，是目前臨床提高急診救治效率和成功率的普遍做法[4]。研究基于我院實際情況優(yōu)化創(chuàng)傷急救護理流程，探討優(yōu)化后流程對醫(yī)療護理質(zhì)量的影響，現(xiàn)報道如下。