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[目的]探讨一体化急救护理模式与传统急救护理模式在多发伤并重型颅脑损伤患者中的急救效果,并对两种急救护理模式的效果进行评价。[方法]采用随机对比研究的方法,按两种急救护理模式实施时间不同,将研究对象分别设为研究组和对照组,通过医院医疗信息系统提取一般人口学特征、病例资料等相关数据并用Excel软件建立数据库,对各组数据使用SPSS软件进行统计学分析。[结果]研究组患者83例,对照组49例,研究组在院前急救平均时间、院内救治时间及平均住院时间上较对照组分别减少了2.9 min、5.6 min及5.8 d,两组差异均有统计学意义(P<0.05);两组转科后死亡率差异无统计学意义(P>0.05)。研究组治愈率高于对照组,转科前死亡率低于对照组,差异均具有统计学意义(P<0.05)。[结论]相比传统的专科救治模式,一体化急救护理模式全程优化了急救护理管理流程,提高了重型颅脑患者救治的成功率。
[Objective] To explore the first-aid effect of integrated emergency nursing model and traditional first-aid nursing model in patients with multiple trauma and severe craniocerebral injury, and to evaluate the effect of the two emergency nursing modes. [Methods] According to the randomized comparative study, according to the different implementation time of two emergency nursing modes, the subjects were divided into study group and control group respectively. The general demographic characteristics and case data were extracted from the hospital medical information system and used Excel Software to establish a database, the data for each group using SPSS software for statistical analysis. [Results] 83 cases in the study group and 49 cases in the control group decreased by 2.9 minutes, 5.6 minutes and 5.8 days respectively in the mean time of pre-hospital first aid, hospital treatment and average length of stay in the study group There was statistical significance (P <0.05). There was no significant difference in death rate between the two groups (P> 0.05). The cure rate of the study group was higher than that of the control group, and the death rate before the transfer was lower than that of the control group. The differences were statistically significant (P <0.05). [Conclusion] Compared with the traditional treatment model, the integrated emergency care model optimizes the emergency nursing management process and improves the success rate of treatment for severe craniocerebral patients.