标准化急救护理流程在重度颅脑损伤病人中的应用研究.docx

标准化急救护理流程在重度颅脑损伤患者中的应用研究【摘要】目的:探讨标准化急救护理流程在重度颅脑损伤患者中的应用效果。方法：我院于2015年8月开始针对重度颅脑损伤患者实施标准化急救护理流程干预，以实施前后1年分别设为对照组和观察组，各选取100例；比较两组医院反应时间、急救总反应时间、围急救期死亡率及急救总体满意度等。结果：观察组医院反应时间和急救总反应时间均显著短于对照组，差异具有显著性（p0.05）；观察组围急救期死亡率显著低于对照组，差异具有显著性（p0.05）；同时观察组急救总体满意度显著高于对照组，差异具有显著性（p0.05）。结论：标准化急救护理流程用于重度颅脑损伤患者可有效缩短急救响应时间，降低围急救期死亡率，并有助于提高整体服务满意程度。【关键词】标准化；急救；标准化流程；重度颅脑损伤；效果Application study of standardized emergency nursing process on patients with severe craniocerebral injuryAbstract：Objective To investigate the application effects of standardized emergency nursing process on patients with severe craniocerebral injury. MethodsStandardized emergency nursing process intervention on patients with severe craniocerebral injury in August 2015 in our hospital and before and after implementation in 1 year were separately defined as control group (100 cases) and observation group(100 cases)；and the hospital response time, the total emergency response time, the mortality in peri-emergency period and the overall satisfaction degree of emergency of both groups were compared. Results The hospital response time and the total emergency response time of observation group were statistically significant shorter than control group（p0.05）. The mortality in peri-emergency period of observation group were statistically significant lower than control group（p0.05）. Theoverall satisfaction degree of emergency of observation group were statistically significant higher than control group（p0.05）.Conclusion Standardized emergency nursing process on patients with severe craniocerebral injury can effectively shorten the emergency response time, reduce the mortality in peri-emergency period and be helpful to higher the overall level of service satisfaction.[Key Words]standardization; emergency; standardized process; severe craniocerebral injury; clinical effects流行病学研究显示，颅脑损伤发生率仅次于四肢损伤，居于全身损伤第2位，其中致死致残率更高居第1位[1]；颅脑损伤患者中超过70%合并其他部位损伤，具有病情危重、进展迅速及死亡率高等特点，而重度患者中约60%-70%于受伤后8h内死亡[2]。近年来研究显示，规范快速院前急救干预对于降低重度颅脑损伤患者死亡率，改善