摘要
目的 探讨在急诊ICU严重创伤患者中开展基于损伤控制理论护理模式的临床应用效果。方法随机筛选我医院2019年2月至2022年2月期间接收的急诊ICU严重创伤患者30例，将纳入的病例通过电脑随机抽取方式分成15例观察组和15例对照组，对照组患者急诊救治过程中给予常规护理配合，观察组给予基于损伤控制理论护理模式，将两种不同护理方案所取得的护理效果进行对比。结果 护理后观察组患者护理管理质量和患者依从性均得到显著提升，患者抢救所用时间、开始手术时间及住院所用时间均明显缩短，救治期间患者发生的并发症也较少，最终取得的抢救成功率较高，两组指标结果对比差值有统计学意义（P＜0.05）。结论：在急诊ICU严重创伤患者护理中开展基于损伤控制理论护理模式，对于提升急诊护理质量、缩短患者急诊抢救时间、减少患者并发症发生和提高抢救成功率起着关键性作用。
关键词： 急诊ICU；严重创伤；基于损伤控制理论护理；抢救成功率；效果探讨
Abstract
Objective: To explore the clinical effect of nursing model based on injury control theory in patients with severe trauma in emergency ICU. Methods: 30 patients with severe trauma in emergency ICU received by our hospital from February 2019 to February 2022 were randomly selected. The included cases were randomly divided into 15 cases in the observation group and 15 cases in the control group. The patients in the control group were given routine nursing cooperation during emergency treatment, and the observation group was given nursing mode based on damage control theory, The nursing effects of two different nursing schemes were compared. Results: after nursing, the quality of nursing management and compliance of patients in the observation group were significantly improved, the rescue time, operation time and hospitalization time of patients were significantly shortened, the complications of patients during treatment were less, and the rescue success rate was higher. The difference between the two groups was statistically significant (P<0.05). Conclusion : the nursing model based on damage control theory in the nursing of severe trauma patients in emergency ICU plays a key role in improving the quality of emergency nursing, shortening the time of emergency rescue, reducing the occurrence of complications and improving the success rate of rescue.
Key words： Emergency ICU; Severe trauma; Nursing based on damage control theory; Rescue success rate; Effect discussion
参考文献 References
[1] 宾小兰.损伤控制联合无缝衔接护理对重症创伤患者救治时间和预后的影响[J].中西医结合护理(中英文),2020, 6(12):179-181.
[2] 赵青青,吴素平,应春晓,等.基于损伤控制理论护理对急诊重症创伤患者的护理效果研究[J].中国现代医生,2020,58(4):185-188.
[3] 李冬梅,徐春霞.急诊创伤患者临床护理中实施规范疼痛评估方案的临床价值分析[J].心理月刊,2020,15(10):85.
[4] 盖纳,董青苗.无缝隙急救护理模式在急诊创伤护理中的应用[J].中国社区医师,2021,37(4):115-116.
[5] 赵艳.以损伤控制理论为基础的综合护理对急诊骨盆骨折患者康复效果、心理弹性的影响[J].心理月刊,2021, 16(21):205-207.
[6] 郭登芳.基于损伤控制理论理念下的护理干预在急诊腹部外伤患者救治中的应用效果[J].中国医药科学,2021, 11(6): 136-138+152.
[7] 孙翠,牛鹏,魏菲.急诊护理中运用损伤控制理论对骨盆骨折患者预后的效果分析[J].系统医学,2020,5(16): 169-171.
[8] 徐珍丽,黄海燕.基于损伤控制理论的综合护理对急诊骨盆骨折患者预后的影响[J].当代护士(下旬刊),2020, 27(8):72-74.
[9] 何文海,林苹青,张晓莉.急诊护理中运用损伤控制理论(DCO)对骨盆骨折患者预后的影响研究[J].吉林医学,2020,41(3):749-750.
[10] 王丹,康新.损伤控制理论在骨盆骨折患者急诊护理中的应用研究[J].中国医药指南,2020,18(6):306-307.
[11] 马秀顷.探究骨盆骨折患者急诊护理中应用损伤控制理论的效果[J].中国社区医师,2019,35(24):142+146.
[12] 朱颖超,夏泽燕,毛进,等.综合护理干预在急诊创伤患者下肢深静脉血栓中的应用效果研究[J].中外医疗,2021, 40(22):161-164.
[13] 高亚维,刘正,李珂桢,等.预见性护理干预在创伤患者急诊院前院内一体化救治中的应用[J].齐鲁护理杂志,2021,27(14):64-66.
[14] 余红平.无缝隙急救护理模式在急诊创伤护理中的应用价值研究[J].当代护士(下旬刊),2020,27(9):112-114.
[15] 白屏,李新敏.创伤协调护理对急诊创伤患者救治效果及护理质量的影响研究[J].中国医药科学,2020,10(22): 153-156.
[16] 宋蜜. ICU严重创伤失血性休克患者的优质急诊护理分析[J]. 母婴世界,2021(35):211-212.
[17] 王晓飞. 无缝衔接一体化急救护理模式在严重创伤病人中的应用对抢救成功率的影响[J]. 家庭医药•就医选药,2021(3):62.