Observation of the role of predictive nursing in emergency treatment of severe trauma in terms of treatment effectiveness and body temperature status
重症创伤急诊救治中预见性护理对救治时效与体温状态的作用观察

摘要

目的 探析预见性护理应用于重症创伤急诊救治中，对救治时效、体温状态的作用效果。方法 自2025年4月起，本院开始收集急诊救治重症创伤的病例资料，至2026年4月止共纳入66例，通过随机数字表法平均分组。其中33例开展常规护理设为参照组；另33例开展预见性护理设为实验组。对比两组救治时效、体温状态等情况。结果 实验组急诊至手术室时间、抢救时间以及有效救治时间均较参照组明显偏短（P<0.05）。实验组自发性低体温发生率为15.15%较参照组的36.36%明显偏低（P<0.05）。实验组自发性低体温持续时间、累加值均较参照组明显偏短（P<0.05）。结论 预见性护理应用于重症创伤急诊救治中，可明显缩短救治时效，有效减少自发性体温事件的发生，促进体温恢复，应积极推广。

Abstract

Objective To analyze the effects of proactive nursing in the emergency treatment of severe trauma on treatment timeliness and body temperature status.
Methods From April 2025, this hospital began collecting case data on severe trauma emergency treatments, with a total of 66 cases included by April 2026. The cases were evenly divided into groups using a random number table method. Among them, 33 cases received conventional nursing and were designated as the reference group; another 33 cases received proactive nursing and were designated as the experimental group. The treatment timeliness and body temperature status were compared between the two groups.
Results The experimental group had significantly shorter emergency-to-operating-room time, rescue time, and effective treatment time compared to the reference group (P<0.05). The incidence of spontaneous hypothermia in the experimental group was 15.15%, significantly lower than the 36.36% in the reference group (P<0.05). The duration and cumulative value of spontaneous hypothermia in the experimental group were also significantly shorter than those in the reference group (P<0.05).
Conclusion   Proactive nursing in the emergency treatment of severe trauma can significantly shorten treatment timeliness, effectively reduce the occurrence of spontaneous temperature events, and promote body temperature recovery. It should be actively promoted.