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目的探讨全方位护理在提高手术室创伤急救抢救效率中的应用价值。方法选取2015年3月至2016年3月于沈阳急救中心进行急救的64例创伤患者作为研究对象,随机将其分为观察组和对照组,每组32例。观察组患者进行全方位护理,对照组患者给予常规护理,比较两组患者抢救效率及医患满意度。结果观察组患者到达手术室后护理人员的术前准备时间(T_0)、手术时间(T_1)、术后送入重症监护病房或普通病房的时间(T_2)均明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者抢救成功率、抢救记录合格率、创伤急救标准手术间物品准备合格率均明显高于对照组,差异均有统计学意义(均P<0.05);观察组医师满意度及患者满意度均明显高于对照组,差异均有统计学意义(χ~2=4.27、4.01,P=0.039、0.045)。结论手术室创伤急救中进行全方位护理可以缩短患者抢救时间,提高抢救成功率,提升医患满意度。
Objective To explore the value of omni-directional nursing in improving the emergency rescue efficiency of trauma in operating room. Methods Totally 64 traumatic patients who were given first aid at Shenyang Emergency Center from March 2015 to March 2016 were selected as study subjects and randomly divided into observation group and control group with 32 cases in each group. Patients in the observation group were treated in all directions and those in the control group were given routine care. The rescue efficiency and patient satisfaction were compared between the two groups. Results The preoperative preparation time (T_0), operation time (T_1) and the time of postoperative admission to intensive care unit or general ward (T_2) were significantly shorter in the observation group than those in the control group (P0.05). The successful rate of rescue, the rate of rescue record in the observation group and the qualified rate of standard emergency room preparation were significantly higher in the observation group than those in the control group (all P0.05) ; Satisfaction rate of the physician in the observation group and patient satisfaction were significantly higher than the control group, the difference was statistically significant (χ ~ 2 = 4.27,4.01, P = 0.039,0.045). Conclusion The omnibearing nursing in operating room emergency trauma can shorten the rescue time, improve the success rate of rescue and enhance the satisfaction of doctors and patients.