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急救链式护理管理流程在基层医院中的应用效果(1)
http://www.100md.com 2015年5月15日 中国当代医药2015年第14期
     [摘要] 目的 研究急救链式护理管理流程在基层医院中的应用效果。 方法 选取本院2012年5月~2014年8月收治的122例急诊抢救患者,根据急救管理方式的不同,将患者分为观察组(n=66)、对照组(n=56)。观察组采用急救链式护理管理流程,对照组采用常规护理管理流程。比较两组患者的抢救成功率、抢救有效时间与患者满意度。 结果 观察组的抢救成功率为89.39%,高于对照组的78.57%(P<0.05);观察组的抢救有效时间短于对照组(P<0.05);观察组的总满意度为95.45%,高于对照组的83.93%(P<0.05)。 结论 急救链式护理管理流程在基层医院抢救过程中有较高的应用价值,可提高抢救成功率,提升患者满意度,降低医疗纠纷发生率,值得临床推广应用。

    [关键词] 急救链;护理管理;抢救

    [中图分类号] R47 [文献标识码] A [文章编号] 1674-4721(2015)05(b)-0158-03

    Application effect of first aid chain-type nursing management process in primary hospital

    LU Mei-ping

    Inpatient Department of Internal Medicine,Shenwan Hospital in Zhongshan City of Guangdong Province,Zhongshan 528462,China

    [Abstract] Objective To study the application effect of first aid chain-type nursing management process in grassroots hospital. Methods 122 patients given emergency rescue treated in our hospital from May 2012 to August 2014 were selected,and they were divided into observation group (n=66) and control group (n=55) according to different emergency management method.Observation group was given first aid chain-type nursing management process,while control group was given routine nursing management process.Successful rate of rescue,the effective time of salvage and satisfaction degree of patients in patients between two groups was compared respectively. Results Successful rate of rescue in observation group (89.39%) was higher than that of control group (78.57%) (P<0.05);effective time of salvage in observation group was shorter than that of control group (P<0.05);the total satisfaction degree of observation group (95.45%) was higher than that of control group (83.93%) (P<0.05). Conclusion First aid chain-type nursing management process has a higher application value in rescue process of the primary hospital,and can improve successful rate of rescue and satisfaction degree of patients,and reduce the incidence rate of medical dispute.It is worthy of clinical promotion and application.

    [Key words] First aid chain;Nursing management;Rescue

    急诊科患者通常病情危急,且病种较多,存在流动性大、抢救难度及风险性高、不可预见性等特征,医护工作者的抢救任务较重,在抢救过程中必须做好相应的护理管理工作,实现抢救流程的规范和有序化,便于提高抢救成功率[1-2]。现阶段,我国县级以下医院在不断发展,其人力资源、抢救设备相对比较落后,对突发事件的处理难度较大,医院设备无法满足灾难性或创伤性患者的需求,因此,为了提高抢救成功率,使致残、致死率降低,必须做好抢救护理管理工作[3]。本文主要分析急救链式护理管理流程在基层医院中的应用价值,现报道如下。

    1 资料与方法

    1.1 一般资料

    选取本院2012年5月~2014年8月收治的122例急诊抢救患者作为研究对象,根据急救管理方式的不同,将患者分为观察组(n=66)和对照组(n=56)。观察组:男性37例,女性29例,年龄18~59岁,平均(36.18±5.43)岁,其中轻症病例39例,重症病例27例。对照组:男性35例,女性21例,年龄18~60岁,平均(34.63±5.25)岁,其中轻症病例36例,重症病例20例。 (卢美萍)
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