目的分析一体化护理干预在急诊严重创伤患者抢救的应用效果,完善一体化护理干预的方法,进一步提高护理质量,为以后的护理急诊抢救工作提供理论依据。方法选取绍兴市人民医院2014年4月—2015年8月收治的严重创伤患者,共计220例。按照入院时间的不同分为对照组和观察组各110例。2014年4—12月收治严重创伤患者为对照组,给予常规急诊护理;2015年1—8月收治的严重创伤患者为观察组,给予一体化护理干预。应用SPSS 17.0统计学软件,比较2组患者抢救反应时间、抢救治疗结果和转运途中的意外事件发生率的差异情况。结果经过不同的护理干预后,观察组患者抢救反应时间中急诊停留时间、特殊检查时间、急诊至手术时间和入院至手术时间分别为(6.86±2.08)min、(13.07±2.81)min、(7.01±1.57)min和(27.69±6.05)min,显著少于对照组,差异有统计学意义(P<0.01)。观察组患者抢救成功率为85.45%,显著高于对照组的63.64%,致残率、病死率和并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组意外事件发生率为2.73%,显著少于对照组的10.00%,差异有统计学意义(P<0.05)。结论一体化护理干预能够有效地缩短患者抢救反应时间,改善抢救治疗结果,减少转运途中的不良事件,值得临床推广。 Objective To analyze the effect of integrated nursing intervention in the emergency treatment of patients with severe traumatic injury and to improve the method of integrated nursing intervention so as to further improve the nursing quality and provide a theoretical basis for the emergency rescue work in the future. Methods A total of 220 patients with severe trauma admitted to Shaoxing People’s Hospital from April 2014 to August 2015 were selected. In accordance with the different admission time divided into control group and observation group of 110 cases. From April to December 2014, patients with severe trauma were treated as control group and received routine emergency care. In January-August 2015, patients with severe trauma were treated as observation group and received integrated nursing intervention. SPSS 17.0 statistical software was used to compare the differences of rescue response time, rescue treatment results and accidental incidents in the two groups. Results After different nursing interventions, the emergency stay time, special examination time, emergency operation time to operation time and the time from admission to operation in the observation group were (6.86 ± 2.08) min, (13.07 ± 2.81) min and (7.01 ± 1.57) min and (27.69 ± 6.05) min, respectively, which was significantly lower than that of the control group (P <0.01). The success rate of rescue in observation group was 85.45%, which was significantly higher than 63.64% in control group. The morbidity, mortality and complication rate of observation group were significantly lower than those of control group (P <0.05). The incidence of accidents in the observation group was 2.73%, which was significantly lower than that in the control group (10.00%), the difference was statistically significant (P <0.05). Conclusion Integrated nursing intervention can effectively shorten the rescue response time of patients, improve the results of rescue and treatment, and reduce adverse events during transit. It is worthy of clinical promotion.