The application effect of clinical nursing based on hierarchical thinking in emergency trauma patients
降阶梯思维下的临床护理在急诊创伤患者中的应用效果

摘要

目的 观察降阶梯思维下的临床护理在急诊创伤患者中的应用效果。方法 本次研究对象选取2024年5月至2026年5月期间我院急诊接收的创伤患者60例，通过数字表分组方式开展护理研究，共分成30例观察组和30例对照组，对照组给予急诊常规护理，观察组开展降阶梯思维下临床护理干预，将两组护理模式取得的临床效果进行对比分析。结果 护理后，观察组的护理管理质量以及患者的遵医行为与对照组相比得到显著提升，患者焦虑程度明显轻于对照组，分诊时间、静脉通路开放时间、呼吸支持时间和急诊抢救时间同对照组相比均明显缩短，并发症发生率低于对照组，（P<0.05）。结论 对急诊创伤患者及时采取降阶梯思维下临床护理干预，可使护理质量和患者的遵医行为得到进一步提升，改善患者的负性情绪，提高急诊抢救效率，减少并发症的发生。

Abstract

Objective To evaluate the efficacy of clinical nursing interventions guided by the step-down thinking approach in emergency trauma patients.
Methods This study enrolled 60 trauma patients admitted to our hospital’s emergency department between May 2024 and May 2026. Patients were randomly assigned using a random number table to an observation group (n=30) receiving descending ladder thinking-based clinical nursing interventions or a control group (n=30) receiving conventional emergency nursing care. The clinical outcomes of the two nursing models were compared.
Results Post-intervention, the observation group demonstrated significantly improved nursing quality management and patient compliance compared to the control group. Patient anxiety levels were markedly lower, while triage time, intravenous access establishment time, respiratory support duration, and emergency resuscitation time were substantially reduced. The incidence of complications was also lower in the observation group (P<0.05).
Conclusion   Timely implementation of step-down thinking-based clinical nursing interventions for emergency trauma patients enhances nursing quality, improves patient compliance, alleviates negative emotions, increases emergency resuscitation efficiency, and reduces complication rates.