摘要
目的 对于多发伤患者的治疗通常由于治疗部位的数量多，患者的治疗依从性低，而导致其治疗质量下降，因此需要更好护理干预帮助其稳固治疗效果。现研究对多发伤患者采用基于创伤评分的一体化急救护理模式，观察对其救治时间及安全性的影响和实际应用价值。方法 此次临床研究的观察对象均为2020年1月到2021年2月期间在我院经组织学或细胞学确诊的多发伤患者，共计120例，根据护理措施不同将患者平均分为常规急救护理组和一体化急救护理组（每组各60例）。后分别对比两组患者的救治时间、救治效果、ARDS及MODS评分和护理满意度。结果 经数据分析，常规急救护理组患者的救治时间（73.27±17.91min）、救治效果（85.00%）、ARDS（30.00%）、MODS（21.67%）、护理满意度（86.67%）；一体化急救护理组患者的救治时间（38.23±16.12min）、救治效果（95.00%）、ARDS（5.00%）、MODS（20.00%）、护理满意度（98.33%）；对比显示发现，一体化及救护组患者的救治时间和ARDS及MODS评分更少更低，但其救治效果和护理满意度却更好，组间数值P＜0.05，说明存在对比意义。结论 创伤评分体系是评估伤情严重程度的方法，为各种伤情提供有效评估，进而采用更精心的护理方案，该项护理措施恰好能够缩短对患者的救治时间，改善患者的救治效果，降低呼吸困难和器官功能衰竭，提高患者的护理满意度，减轻患者痛苦，值得大范围推广，建议提倡。
关键词： 创伤评分；一体化急救护理；多发伤患者；救治时间；救治效果；护理满意度
Abstract
Objective The treatment of patients with multiple injuries is usually due to the large number of treatment sites and the low treatment compliance of the patients, which leads to a decline in the quality of treatment. Therefore, better nursing intervention is needed to help stabilize the treatment effect. The present study adopts an integrated emergency nursing model based on trauma score for patients with multiple injuries, and observes its impact on treatment time and safety and its practical application value. Methods The subjects of this clinical study were all patients with multiple injuries diagnosed by histology or cytology in our hospital from January 2020 to February 2021, a total of 120 cases. According to different nursing measures, the patients were equally divided into routine Emergency care group and integrated emergency care group (60 cases in each group). The treatment time, treatment effect, ARDS and MODS scores, and nursing satisfaction were compared between the two groups. Results After data analysis, the treatment time (73.27±17.91min), treatment effect (85.00%), ARDS (30.00%), MODS (21.67%) and nursing satisfaction (86.67%) of patients in the routine emergency care group; integrated The rescue time (38.23±16.12min), rescue effect (95.00%), ARDS (5.00%), MODS (20.00%) and nursing satisfaction (98.33%) of patients in the emergency nursing group; The patients' treatment time and ARDS and MODS scores were shorter and lower, but their treatment effect and nursing satisfaction were better. Conclusion The trauma scoring system is a method for evaluating the severity of injuries, providing effective evaluation for various injuries, and then adopting a more careful nursing plan. This nursing measure can just shorten the treatment time for patients and improve the treatment effect of patients. It can reduce dyspnea and organ failure, improve patient's nursing satisfaction, and relieve patient's pain. It is worthy of widespread promotion and recommended.
Key words： Trauma score; Integrated emergency care; Multiple trauma patients; Treatment time; Treatment effect; Nursing satisfaction
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