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目的研究创伤骨科急症患者的就诊特点及规律,探讨其对护理管理的影响。方法采用回顾性调查研究的方法对唐山市第二医院2003年6月1日0时起~2005年5月31日23∶59分止53577例急症患者的病种、性别、年龄、就诊时间、地区分布、受伤机制、一般病人和危重病人就诊时间进行统计分析。结果所有患者中手外伤最多;24h就诊高峰段为8∶00~11∶00,14∶00~21∶00,每周就诊高峰时间是周一、周二,夜班和晚班虽然总就诊数量减少,但危重病人在班次中所占比例大,节假日、双休日突发公共事件多;受伤区域路北区最多,其次是路南区;受伤机制中前三位依次为交通伤、重物砸伤、高处坠落。结论骨科急诊护理管理应根据就诊现状调查科学运作,倡导建立在实证基础之上的人力资源管理、护理管理关口前移、急救模式、人员培训、物资储备等,以提高病人的抢救成功率。
Objective To study the characteristics and regularity of visits to patients with traumatic orthopedic emergency and to explore their impact on nursing management. Methods A retrospective investigation of the method of Tangshan Second Hospital from 01:00 on June 1, 2003 ~ at 23:59 on May 31, 2005 only 53,577 cases of emergency patients with disease, sex, age, treatment time, Regional distribution, injury mechanism, general patient and critically ill patients visiting time for statistical analysis. Results The maximum amount of hand injuries occurred in all patients. The peak hours of 24 h treatment were from 8:00 to 11:00 and from 14:00 to 21:00. The peak hours of weekly visits were Monday, Tuesday, night shift and evening shift. Although the total number of visits was reduced, The proportion of critically ill patients in the shift was large, and there were many public incidents on holidays, weekends and holidays. The most affected area was North Lubei District, followed by South Road District. The top three were injuries, heavy injuries and heights come down. Conclusion Orthopedic emergency nursing management should be based on the status quo investigation of scientific operation, advocating based on evidence-based human resource management, care management advance, emergency mode, personnel training, material reserves, etc., in order to improve the success rate of patient rescue.