急诊快捷护理流程在重型颅脑损伤中的应用分析.docVIP

精品论文 参考文献 急诊快捷护理流程在重型颅脑损伤中的应用分析 谭春兴 杨艳青 李共甜 李俊 李雪贞 [摘 要]目的：探讨对急诊科急性脑卒中（SCI）患者应用快捷护理流程（QNP）的效果。方法：将208例SCI患者按照入院时间的不同分为观察组（2009.1-2010.12）和对照组（2011.1-2012.12）。观察组：106例SCI患者，采取QNP；对照组：102例SCI患者，进行常规就诊程序。对比两组抢救情况、残疾率、死亡率、预后情况及满意度。结果：观察组患者接诊到确诊时间、抢救时间明显少于对照组，两组相比，差异显著（P lt;0.001）。观察组抢救费用明显少于对照组，两组相比，差异有显著统计学意义（P lt;0.001）。观察组GSC评分、GOS评分明显高于对照组，差异有显著统计学意义（均为P lt;0.001）。观察组致残率、死亡率分别为20.75%、7.55%；对照组致残率、死亡率分别为33.33%、16.67%。观察组致残率和死亡率低于对照组，差异有统计学意义（均为P lt;0.05）。观察组满意度明显高于对照组，差异有显著统计学意义（Plt;0.01）。结论：对SCI患者实施急诊QNP，可以缩短抢救时间、抢救费用，降低致残率、死亡率，提高抢救成功率，有效改善患者预后，同时还可以提升满意度。 [关键词]快捷护理流程 急诊 重型颅脑损伤 效果 DOI:10.3760/cma.j.issn.1672-7088.2014.9.77 作者单位：529000 广东江门，江门市人民医院急诊科 [作者简介] 谭春兴（1975-），女，汉族，广东江门人，本科，江门市人民医院急诊科护长，副主任护师，研究方向：临床护理。 Analysis of application of quick nursing process in severe craniocerebral injury in emergency Tanchun Xing ,Yang Yanqing,Li Gongtian,Li Jun,Li Xuezhen Abstract:Objective:To study the effect of of application of quick nursing process in severe craniocerebral injury in emergency. Methods:208 SCI patients were divided into the observation group (2009.1 2010.12) and control group (2011.1 2012.12), according to admission time. Observation group: 106 cases of patients with SCI, adopted QNP; Control group: 102 cases of patients with SCI, adopted regular program. Rescues, disability and mortality, prognosis, and satisfaction of two groups were compared. Results:Receiving-confirmed time, save time of patients in observation group were significantly less than the control group, with the significant difference (P lt; 0.001). The rescue expenses of observation group was obviously less than control group, cand there were significant difference (P lt; 0.001). GSC score, GOS score in observation group were obviously higher than that of control group, with statistically significant difference (all P lt; 0.001). Morbidity and mortality rates in observation group were 20.75%, 7.55%; Morbidity and mortality rates of control group were 33.33%, 16.67% respec