Effect analysis and establishment of green nursing channel for emergency patients with severe acute traumatic shock
10.3969/j.issn.1008-9691.2018.03.020
- VernacularTitle:急诊严重创伤性休克患者绿色护理通道的建立及实施效果分析
- Author:
Xiang QIU
1
;
Qianqian JIN
;
Chan ZHOU
;
Lingling WANG
;
Xiao LIN
Author Information
1. 温州医科大学附属第二医院(育英儿童医院)成人急诊科
- Keywords:
Green nursing channel;
Traumatic,Shock;
Emergency treatment;
Application effect
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2018;25(3):302-304
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of establishment of green nursing channel for emergency patients with severe acute traumatic shock on quality of nursing care. Methods Fifth-six patients with severe acute traumatic shock who received nursing by green nursing channel admitted to Department of Adult Emergency of Second Affiliated Hospital of Wenzhou Medical University (Yuying Children's Hospital) from October 2016 to November 2017 were assigned in the research group, and at the same time, 42 patients with the same disease adopted conventional nursing mode from March 2015 to September 2016 were in the control group. The emergency treatment time, special inspection time, emergency to the operating room time, admission to operation time of patients, the incidences of the asphyxia and multiple organ dysfunction syndromes (MODS), and success rate of rescue in the two groups were recorded; the degree of patients satisfaction were observed. Results The emergency room treatment time (minutes: 13.51±3.62 vs. 20.84±3.96), special inspection time (minutes: 16.30±4.05 vs. 23.71±4.16) and admission to operation time (minutes:42.61±7.98 vs. 57.83±7.46) in the study group were significantly shorter (all P ＜ 0.05), the incidences of asphyxia and MODS in the study group were obviously lower than those in the control group [asphyxia: 1.79% (1/56) vs. 11.90% (5/42), MODS: 3.57% (2/56) vs. 16.67% (7/42), both P ＜ 0.05], and the success rate of rescue in the study group was significantly higher than that in the control group [100.00% (56/56) vs. 92.86% (39/42), P ＜ 0.05]; the degree of patients satisfaction in the study group was obviously higher than that in the control group [96.43% (54/56) vs. 83.3% (35/42)], and the differences between the two groups were statistically significant (all P ＜ 0.05). Conclusion The establishment of a green nursing channel for emergency patients with severe acute traumatic shock is helpful to improve the emergency working efficiency, shorten the time for nursing emergency response, and its application effect is good.
