摘要
目的探讨临床护理路径下的院前急救护理方案对急腹症患者急救质量的影响。方法我院自2019年8月开始实施临床路径下的院前急救方案,实施前(2018年8月至2019年7月)88例患者采用常规院前急救护理方案(对照组),实施后(2019年8月至2020年8月)92例患者采用临床护理路径下的院前急救护理方案(研究组),比较两组患者急救质量、并发症、陪诊人员护理满意度及患者疼痛、负性情绪。结果研究组分诊失误率、并发症发生率低于对照组,分诊、接诊-确诊、接诊-手术、急诊科观察时间均短于对照组,抢救成功率高于对照组(P<0.05);研究组患者陪诊人员在抢救效率、救护技术、抢救效果、沟通协调、服务意识5个方面的护理满意度均高于对照组(P<0.05);病情稳定后,研究组患者视觉模拟疼痛评分(VAS)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组(P<0.05)。结论临床护理路径下的院前急救护理方案能够有效指导医护人员临床决策,提高急救效率、质量和护理满意度,改善患者心理状况。
Objective To explore the effect of the pre-hospital emergency nursing program under clinical nursing pathway on quality of emergency treatment for patients with acute abdominal disease.Methods Pre-hospital emergency program under clinical nursing pathway has been implemented in our hospital since August 2019.From August 2018 to July 2019,88 patients receiving conventional pre-hospital emergency nursing program were included in control group.From August 2019 to August 2020,92 patients receiving pre-hospital emergency nursing program under clinical nursing pathwaywere selected in study group.The quality of emergency treatment,complications,nursing satisfaction of the accompanying staff,pain and negative emotions of patients were compared between the two groups.Results The triage error rate and incidence rates of complications of the study group were lower than those of the control group.The triage time,admission-diagnosis time,admission-surgery time and observation time at emergency department in the study groupwere all shorterthan those of the control group,and the rescue success rate was higher than that of the control group(P<0.05).The nursing satisfaction scores of five aspects such as rescue efficiency,rescue technology,communication/coordination and service awareness of accompanying staff in the study group were all higher than those of control group(P<0.05).After the condition was stable,Visual Analogue Scale(VAS)pain score,Self-rating Anxiety Scale(SAS)score and Self-rating Depression Scale(SDS)score of patients in the study group were lower than those in the control group(P<0.05).Conclusion Pre-hospital emergency nursing program under clinical nursing pathway can effectively guide the clinical decision-making of medical staff,enhance the efficiency,quality and nursing satisfaction in emergency treatment.In addition,it can improve the psychological status of patients.
作者
杨雪丽
徐弋
李怡
YANG Xue-li;XU Yi;LI yi(Emergency Department,West China Hospital,Sichuan University,Kangding 626000,China;Pharmacy Department,Ganzi Hospital,West China Hospital,Sichuan University,Kangding 626000,China)
出处
《实用医院临床杂志》
2021年第3期125-128,共4页
Practical Journal of Clinical Medicine
关键词
临床护理路径
院前急救护理方案
急腹症
急救质量
Clinical nursing pathway
Pre-hospital emergency nursing program
Acute abdominal disease
Quality of emergency treatment
