CAJ | 학술논문

目的：探讨链式流程护理管理在急诊严重创伤患者中的应用效果。方法将100例严重创伤患者按照急诊护理方法的不同分为观察组和对照组，对照组采用常规护理管理方法进行救治，观察组采用链式流程护理管理，比较2组的急救效果。结果观察组的一般判断时间、生命体征判断时间、基本生命支持抢救时间少于对照组，确定手术30 min 到达率高于对照组，手术救治成功率高于对照组，差异有统计学意义（P ＜0．05）。观察组的急诊病死率低于对照组，休克发生率低于对照组，预后情况好于对照组，差异有统计学意义（P ＜0．05）。结论链式流程护理管理是一种优化整合的救治程序，能够显著提高急诊严重创伤患者的抢救效率。
목적：탐토련식류정호리관리재급진엄중창상환자중적응용효과。방법장100례엄중창상환자안조급진호리방법적불동분위관찰조화대조조，대조조채용상규호리관리방법진행구치，관찰조채용련식류정호리관리，비교2조적급구효과。결과관찰조적일반판단시간、생명체정판단시간、기본생명지지창구시간소우대조조，학정수술30 min 도체솔고우대조조，수술구치성공솔고우대조조，차이유통계학의의（P ＜0．05）。관찰조적급진병사솔저우대조조，휴극발생솔저우대조조，예후정황호우대조조，차이유통계학의의（P ＜0．05）。결론련식류정호리관리시일충우화정합적구치정서，능구현저제고급진엄중창상환자적창구효솔。
Objective To explore the application effect of chain process nursing manage-ment in severe trauma patients in emergency department.Methods 100 severe trauma patients were randomly divided into the observation group and the control group by the different emergency nursing method.The control group was given routine nursing management while the observation group was given chain process nursing management.Emergency rescue effect was compared be-tween the two groups.Results The general judgment time,judgment time of vital signs,basic life support and the rescue time in the observation group were all less than that in the control group.Arrival rate within 30 min was higher than that in the control group and the cure rate of op-eration was higher than that in the control group.Thus,the difference was statistical significant(P<0.05).Emergency mortality in the observation group was lower than that in the control group, shock occurrence rate was less than that in the control group and the prognosis was better than that in the control group.So the difference was statistical significant(P <0.05).Conclusion Chain process nursing management is superior and integrative treating process.It can significantly im-prove the rescue efficiency of patients with severe trauma.