CAJ | 학술논문

目的：探讨一体化急救护理新模式在重型颅脑损伤患者急救中的应用效果。方法选择2011年6月-2013年2月96例重型颅脑损伤患者为观察组，采用一体化急救护理新模式进行救护；选择2010年1月-2011年5月104例重型颅脑损伤患者为对照组，采用传统的急救护理模式进行救护，比较两组患者护理质量、患者护理满意度以及转送意外事件发生率。结果实施一体化急救护理新模式后，观察组的院前急救反应时间和急诊科救治时间较对照组缩短；治愈率提高，患者病死率下降；患者护理满意度升高；转送意外事件发生率降低，两组间差别均有统计学意义（P<0.05）。结论一体化急救护理新模式在重型颅脑损伤患者急救中应用，有效缩短了急救时间，提高了救治效果。
목적：탐토일체화급구호리신모식재중형로뇌손상환자급구중적응용효과。방법선택2011년6월-2013년2월96례중형로뇌손상환자위관찰조，채용일체화급구호리신모식진행구호；선택2010년1월-2011년5월104례중형로뇌손상환자위대조조，채용전통적급구호리모식진행구호，비교량조환자호리질량、환자호리만의도이급전송의외사건발생솔。결과실시일체화급구호리신모식후，관찰조적원전급구반응시간화급진과구치시간교대조조축단；치유솔제고，환자병사솔하강；환자호리만의도승고；전송의외사건발생솔강저，량조간차별균유통계학의의（P<0.05）。결론일체화급구호리신모식재중형로뇌손상환자급구중응용，유효축단료급구시간，제고료구치효과。
Objective To discuss the clinical effects of a new pattern of integrated emergency nursing for severe craniocerebral injury patients in pre-hospital care. Methods Ninety-six severe craniocerebral injury patients in pre-hospital care from June 2011 to February 2013 were chosen as observation group, receiving a designed new-pattern of integrated emergency nursing, and 104 cases in pre-hospital care from January 2010 to May 2011 were chosen as control group, receiving traditional pattern of integrated emergency nursing. Quality of nursing, patient ’ satisfaction with nursing and accident rate in transfer were compared between two groups. Results With the new pattern, pre-hospital emergency response time and care time in emergency department of observation group were shorter than those of control group. The cure rate increased while mortality of patients and accident rate in transfer declined. The difference between two groups was statistically significant (P<0.05). Conclusion With new integrated emergency nursing, first-aid time is shortened for severe craniocerebral injury patients in pre-hospital care.