摘要
目的 研究在急诊ICU严重创伤患者中开展早期多学科协作护理模式对预防患者谵妄发生率的临床效果。方法 本文病例选取急诊ICU接收的严重创伤患者30例,将纳入的病例随机分成观察组和对照组各有15例,对照组给予常规护理配合,观察组给予早期多学科协作护理模式,对比两组护理效果。结果 护理后两组各项指标结果比较显示,观察组患者护理管理质量得到显著提升,患者抢救及ICU住院时间均明显缩短,救治期间患者谵妄发生率较低,最终取得的抢救成功率较高(P<0.05)。结论 在急诊ICU严重创伤患者护理中开展早期多学科协作护理模式,可提高临床急诊护理质量,缩短患者急诊抢救时间,减少患者谵妄发生,从而提高抢救效率及成功率。
关键词: 急诊ICU;严重创伤;早期多学科协作护理模式;谵妄发生率;效果研究
Abstract
Objective To study the clinical effect of early multidisciplinary collaborative nursing model on the prevention of delirium in patients with severe trauma in emergency ICU. Methods 30 patients with severe trauma received in emergency ICU were selected. The included cases were randomly divided into observation group and control group, with 15 cases in each group. The control group was given routine nursing cooperation, and the observation group was given early multidisciplinary cooperative nursing mode. The nursing effects of the two groups were compared. Results after nursing, the comparison of the results of various indexes between the two groups showed that the quality of nursing management of patients in the observation group was significantly improved, the time of rescue and ICU hospitalization were significantly shortened, the incidence of delirium during treatment was low, and the final rescue success rate was high (P < 0.05). Conclusion early multidisciplinary cooperative nursing mode in the nursing of severe trauma patients in emergency ICU can improve the quality of clinical emergency nursing, shorten the emergency rescue time, reduce the occurrence of delirium, and improve the rescue efficiency and success rate.
Key words: Emergency ICU; Severe trauma; Early multidisciplinary collaborative nursing model; Incidence of delirium; Effect research
参考文献 References
[1] 陈国庆,徐娟,宋秀银,赵采红,郭彦萍.ICU谵妄危险因素及集束化干预预防措施[J].国际护理学杂志,2021,40(15):2716-2719.
[2] 吉云兰,徐旭娟,单君,倪花,汤丹丹,吴亚琴,薛慧萍,姜岱山.严重创伤患者谵妄发生风险预测模型的构建[J].中华护理杂志,2020,55(6):811-816.
[3] 徐欣,张振平,李林泽.急诊重症监护病房(EICU)患者出现谵妄的危险因素分析[J].国际精神病学杂志,2019,46(5):881-884.
[4] 程晓雪,石萍,刘春兰.急诊创伤患者亚谵妄发生预测模型的构建及验证研究[J].中华急危重症护理杂志,2021,2(6):485-490.
[5] 张曼曼,王静,范立华.多学科迅速响应协作护理模式对急诊患者救治效率的影响[J].山东医学高等专科学校学报,2022,44(1):69-71.
[6] 杨超.早期多学科协作护理在ICU重症机械通气患者中的应用效果[J].中外医学研究,2021,19(23):101-104.
[7] 宝圆圆.多学科协作护理联合优质护理、心理护理对急诊患者的影响分析[J].心理月刊,2021,16(4):83-84.
[8] 黄淑贤.多学科协作护理对急诊危重患者院内转运时间及转运不良事件的影响[J].护理实践与研究,2020,17(20):155-157.
[9] 张晓荷,汉华,蔡建叶,张晶.多学科协作护理联合优质护理对急诊患者的影响[J].西北国防医学杂志,2019,40(9):579-583.
[10] 林玲燕,梁添玉,陈建邦.急诊护理联合舒缓护理对严重创伤呼吸困难患者的应用效果分析[J].岭南急诊医学杂志,2021,26(5):542-544.
[11] 堵秋君.建立急诊快速反应团队对提升严重创伤患者护理时效的效果分析[J].国际护理学杂志,2021,40(19):3467-3470.
[12] 黄国容.急诊严重创伤患者急性疼痛的个体化评估与干预的护理实践效果[J].疾病监测与控制,2021,15(3):219-221.
[13] 黄丽,曹玉丹.整体护理对严重创伤患者急诊救治的影响[J].当代护士(中旬刊),2021,28(5):73-75.
[14] 彭璟.急诊快速反应团队模式护理干预在急诊严重创伤患者中的应用效果[J].中国医药科学,2021,11(7):162-165.
[15] 谭小莹.探讨高级创伤护理在急诊严重创伤患者护理中的应用效果[J].智慧健康,2020,6(20):100-101.