危机管理结合无缝衔接一体化急救护理在急重症颅脑损伤患者中应用研究

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摘要目的探讨危机管理结合无缝衔接一体化急救护理在急重症颅脑损伤患者中的应用效果。方法选择2019年4月—2020年9月我院收治的急重症颅脑损伤患者129例,2019年4月—12月实施无缝衔接一体化急救护理期间收治的64例患者设为对照组,2020年1月—9月实施危机管理结合无缝衔接一体化急救护理期间收治的65例患者设为观察组。对照组实施无缝隙衔接一体化急救护理,观察组在此基础上联合危机管理。比较两组救治效率、抢救成功率、转运过程中意外事件发生率及预后情况。结果观察组院前急救时间(11.26±1.54)min(t=11.024,P<0.001)、院内急救时间(18.64±2.03)min(t=15.656,P<0.001)、院内转运时间(2.89±0.72)min(t=8.835,P<0.001),均短于对照组;抢救成功率(95.38%)高于对照组(81.25%,χ2=6.270,P=0.012),转运过程中意外事件发生率(3.08%)低于对照组(14.06%,χ2=4.990,P=0.026);预后效果优于对照组(Z=2.639,P=0.008),预后良好率(78.46%)高于对照组(54.69%),差异有统计学意义(χ2=8.202,P=0.004)。结论危及管理结合无缝隙衔接一体化急救护理可有效提高救治效率及抢救成功率,并减低转运过程中意外事件发生率,改善预后。　

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	张巍巍
	夏宇

关键词 ：急重症颅脑损伤, 危机管理, 无缝衔接一体化急救护理, 救治效率, 抢救成功率, 预后

Abstract：Objective To explore the application effect of crisis management combined with seamless integration of emergency nursing in patients with acute and severe craniocerebral injury. Methods From April 2019 to September 2020, 129 patients with acute and severe craniocerebral injury were selected in our hospital, 64 patients were treated as a control group during the period of April-December 2019, and 65 patients were treated as an observation group during the period of January-September 2020. The control group was given the seamless integrated first aid nursing, and the observation group was given the seamless integrated first aid nursing combined with crisis management. The treatment efficiency, rescue success rate, accident rate and prognosis were compared between the two groups. Results In the observation group, the average pre-hospital first aid time was (11.26±1.54) min, the hospital first aid time was (18.64±2.03) min and the hospital transfer time was (2.89±0.72) min, which were shorter than those in the control group (t=11.024, 15.656, 8.835, all P<0.001). In the observation group, the rescue success rate (95.38%) was higher than that of the control group (81.25%), (χ2=6.270, P=0.012), and the accident rate during the transportation (3.08%) was lower than that of the control group (14.06%), (χ2=4.990, P=0.026). In addition, in the observation group, the prognosis was superior to that of the control group (χ2=2.639, P=0.008), and the good prognosis rate (78.46%) was higher than that of the control group (54.69%), with a statistically significant difference (χ2=8.202, P=0.004). Conclusion The combination of crisis management and seamless integration of emergency nursing can effectively improve the rescue efficiency and success rate, reduce the incidence of accidents during the transportation and improve the prognosis.

Key words： acute and severe craniocerebral injury crisis management seamless integration of first aid nursing rescue efficiency rescue success rate prognosis

收稿日期: 2021-02-23

ZTFLH:

R47

基金资助:河南省2018年科技发展计划(182102310536)

作者简介: 张巍巍(1990-),女,河南驻马店人,护师,本科学历,研究方向为重症护理。

引用本文:

张巍巍,夏宇. 危机管理结合无缝衔接一体化急救护理在急重症颅脑损伤患者中应用研究[J]. 中国校医, 2022, 36(2): 94-96,99.
ZHANG Wei-wei, XIA Yu. Application of crisis management combined with seamless integration of emergency nursing in patients with acute and severe craniocerebral injury. Chinese Journal of School Doctor, 2022, 36(2): 94-96,99.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2022/V36/I2/94

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