中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
7期
498-500
,共3页
李水莉%李颖%赵丽丽%张培培
李水莉%李穎%趙麗麗%張培培
리수리%리영%조려려%장배배
颅脑损伤%颈椎%急救%护理%降阶梯思维
顱腦損傷%頸椎%急救%護理%降階梯思維
로뇌손상%경추%급구%호리%강계제사유
Craniocerebral trauma%Cervical vertebrae%First aid%Nursing care%De-escalation thinking
目的 探讨降阶梯思维在颅脑损伤合并颈椎损伤患者急救护理中的应用效果.方法 将2012年9月至2014年8月在我院急诊科抢救的23例颅脑损伤合并颈椎损伤患者作为观察组,以降阶梯思维方式抢救.2010年9月至2012年8月以传统的临床经验思维方式抢救的19例颅脑损伤合并颈椎损伤患者作为对照组,分析2组患者拟诊为颅脑损伤合并颈椎损伤的预警时间、急诊救治时间及漏诊例数,比较两者间的差异.结果 观察组拟诊为颅脑损伤合并颈椎损伤的预警时间短于对照组,t=18.035,差异有统计学意义;观察组急诊救治时间短于对照组,t=7.650,差异有统计学意义;观察组漏诊率4.35％(1/23),显著低于对照组的9/19,二者比较x2=8.38,差异有统计学意义.结论 急诊护士运用降阶梯思维方式实施抢救,能缩短对颅脑损伤合并颈椎损伤患者的预警时间和急诊救治时间,降低漏诊率,提高抢救的时效性.
目的 探討降階梯思維在顱腦損傷閤併頸椎損傷患者急救護理中的應用效果.方法 將2012年9月至2014年8月在我院急診科搶救的23例顱腦損傷閤併頸椎損傷患者作為觀察組,以降階梯思維方式搶救.2010年9月至2012年8月以傳統的臨床經驗思維方式搶救的19例顱腦損傷閤併頸椎損傷患者作為對照組,分析2組患者擬診為顱腦損傷閤併頸椎損傷的預警時間、急診救治時間及漏診例數,比較兩者間的差異.結果 觀察組擬診為顱腦損傷閤併頸椎損傷的預警時間短于對照組,t=18.035,差異有統計學意義;觀察組急診救治時間短于對照組,t=7.650,差異有統計學意義;觀察組漏診率4.35％(1/23),顯著低于對照組的9/19,二者比較x2=8.38,差異有統計學意義.結論 急診護士運用降階梯思維方式實施搶救,能縮短對顱腦損傷閤併頸椎損傷患者的預警時間和急診救治時間,降低漏診率,提高搶救的時效性.
목적 탐토강계제사유재로뇌손상합병경추손상환자급구호리중적응용효과.방법 장2012년9월지2014년8월재아원급진과창구적23례로뇌손상합병경추손상환자작위관찰조,이강계제사유방식창구.2010년9월지2012년8월이전통적림상경험사유방식창구적19례로뇌손상합병경추손상환자작위대조조,분석2조환자의진위로뇌손상합병경추손상적예경시간、급진구치시간급루진례수,비교량자간적차이.결과 관찰조의진위로뇌손상합병경추손상적예경시간단우대조조,t=18.035,차이유통계학의의;관찰조급진구치시간단우대조조,t=7.650,차이유통계학의의;관찰조루진솔4.35％(1/23),현저저우대조조적9/19,이자비교x2=8.38,차이유통계학의의.결론 급진호사운용강계제사유방식실시창구,능축단대로뇌손상합병경추손상환자적예경시간화급진구치시간,강저루진솔,제고창구적시효성.
Objective The aim of the study was to investigate the application effect of de-escalation thinking in first aid nursing of craniocerebral injury complicated with cervical spine injury.Methods 23 cases of craniocerebral injury and cervical spine injury patients received first aid rescue in emergency department of our hospital during the period from September 2012 to August 2014 were set as the observation group,and the de-escalation thinking way was used during rescue process.19 cases of craniocerebral injury and cervical spine injury patients during the period from September 2010 to August 2012 were set as the control group,traditional way of clinical experience thinking way was used.The early warning time,emergency treatment time and missed diagnosis cases were compared between the two groups.Results The early warning time of diagnosed as traumatic brain injury complicated with cervical spine injury (t=18.035) and emergency treatment time (t=7.650) in the observation group were shorter than those of the control group,the difference was significant.The missed diagnosis rate of the observation group [4.35％(1/23)] was significantly lower than that of the control group (9/19),the difference was significant (x2=8.38).Conclusions Application of de-escalation thinking mode in rescue by emergency nurses can shorten the early warning and emergency treatment time,decrease the missed diagnosis rate and improve the timeliness of the rescue for craniocerebral injury complicated with cervical spine injury.
