摘要
目的 分析在急诊ICU严重创伤患者中开展临床护理路径模式的临床效果以及对VAP发生率的影响。方法 此次研究病例筛选我医院2021年2月至2022年1月急诊ICU接收的严重创伤患者30例，将纳入的病例通过电脑随机选取方式分成观察组与对照组各为15例，对照组给予常规护理模式，观察组则采取临床护理路径模式，详细对比两种护理模式最终取得的临床效果。结果 通过护理后两组结果比较显示，观察组患者焦虑情绪得到及时改善，依从性明显增强，患者呼吸频率改善显著，撤机时间与ICU住院时间也明显缩短，治疗期间发生的呼吸机相关性肺炎（VAP）并发症也较少，两组数据数据差值存在统计学意义(P＜0.05)。结论 对急诊创伤患者开展临床护理路径模式，可有效提升临床急诊救治效率，降低患者救治期间并发症发生率，最大限度确保患者的生命安全。
关键词： 急诊ICU；严重创伤；临床护理路径；VAP发生率；效果分析
Abstract
Objective: To analyze the clinical effect of clinical nursing pathway model in patients with severe trauma in emergency ICU and its impact on the incidence of VAP. Methods: in this study, 30 patients with severe trauma received in the emergency ICU of our hospital from February 2021 to February 2022 were selected. The included cases were randomly divided into the observation group and the control group, with 15 cases in each group. The control group was given routine nursing mode, and the observation group was given clinical nursing path mode. The final clinical effects of the two nursing modes were compared in detail. Results: after nursing, the results of the two groups showed that the anxiety of the patients in the observation group was improved in time, the compliance was significantly enhanced, the respiratory rate of the patients was significantly improved, the withdrawal time and ICU hospitalization time were significantly shortened, and there were fewer complications of ventilator-associated pneumonia (VAP) during the treatment. The difference between the two groups was statistically significant (P<0.05). Conclusion : the clinical nursing pathway model for emergency trauma patients can effectively improve the efficiency of clinical emergency treatment, reduce the incidence of complications during treatment, and ensure the life safety of patients to the greatest extent.
Key words： Emergency ICU; Severe Trauma; Clinical Nursing Pathway; VAP Incidence; Effect Analysis
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