Application of emergency nursing pathway based on multidisciplinary team in patients with traumatic shock
10.3760/cma.j.cn115682-20200706-04243
- VernacularTitle:基于多学科协作团队的急救护理路径在创伤性休克患者中的应用
- Author:
Jinyan ZHANG
1
;
Liping YANG
;
Qingrong PENG
Author Information
1. 江苏省连云港市第一人民医院抢救室 222000
- Keywords:
Traumatic shock;
Emergency;
Multidisciplinary team;
Nursing pathway
- From:
Chinese Journal of Modern Nursing
2021;27(7):948-951
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of multidisciplinary team (MDT) based emergency nursing pathway in patients with traumatic shock.Methods:A total of 200 patients with traumatic shock who were admitted to Emergency Room of Emergency Department in the First People's Hospital of Lianyungang from January 2018 to December 2019 were selected as research objects. Among them, 112 patients admitted from January to December 2018 were set as the control group and they were given routine emergency nursing measures, and 108 patients admitted from January to December 2019 were set the observation group and implemented the emergency nursing pathway based on MDT. The differences in rescue response time, rescue results and family satisfaction were compared between the two groups.Results:The rescue intervention time of the observation group was (8.4±5.8) min, the emergency stay time was (15.0±4.3) min and the preoperative preparation time was (10.4±3.2) min, which was lower than (14.1±6.7) , (19.7±4.1) , (13.6±3.5) min of the control group, and the differences were statistically significant ( P<0.05) . The success rate of rescue of the observation group was higher than that of the control group (90.7% vs. 73.2%) , the incidence of multiple organ dysfunction syndrome was lower than that of the control group (7.4% vs. 17.0%) and the incidence of asphyxia was lower than that of the control group (4.6% vs. 13.4%) , and the differences were statistically significant ( P<0.05) . The satisfaction score of family members of the observation group was higher than that of the control group [ (40.8±3.6) vs. (37.4±3.8) ], and the differences were statistically significant ( P<0.05) . Conclusions:MDT-based emergency nursing pathway can significantly shorten the rescue response time of patients with traumatic shock, improve the success rate of rescue and satisfaction of family members and reduce occurrence rate of complications.
