休克指数评估联合危机管理模式在急诊外科中的护理质量分析OA
Analysis of the Quality of Nursing in Emergency Surgery with the Use of Shock Index Assessment Combined with Crisis Management Model
目的 分析休克指数评估联合危机管理模式在急诊外科中的护理质量.方法 选取 2022 年 2 月至 2023 年 2月期间许昌龙湖医院急诊外科收治的 100 例患者与 40 例急诊外科中的护理人员,患者和护理人员均随机分为两组,对照组患者(50 例)、研究组患者(50 例);对照组护理人员(20 例)、研究组护理人员(20 例).给予对照组危机管理模式,研究组在对照组基础上给予休克指数评估.对比两组患者确诊时间、急诊至手术时间、急诊室停留时间、焦虑自评表(SAS)、抑郁自评表(SDS)、生活质量、及满意度,对比两组护理人员护理质量操作水平.结果 研究组患者确诊时间、急诊至手术时间及急诊室停留时间均低于对照组,差异有统计学意义(P＜0.05).护理后,研究组患者生理状态评分、社会功能评分、环境影响评分、身体疼痛评分、总体健康评分、社交功能评分、情感角色评分、心理健康评分均高于对照组,差异有统计学意义(P＜0.05).护理后,研究组患者焦虑、抑郁状态评分显著低于对照组,差异有统计学意义(P＜0.05).培训前,研究组护理人员的护理质量操作评分明显高于对照组,差异有统计学意义(P＜0.05).培训后,研究组患者对各方面护理满意度评分均高于对照组,差异有统计学意义(P＜0.05).结论 在急诊外科中应用休克指数评估联合危机管理模式,可有效缩短患者的确诊时间,缓解焦虑、抑郁情绪,提升护理人员的护理质量操作水平.
Objective To analyze the quality of nursing in emergency surgery with the use of shock index assessment combined with crisis management model.Methods 100 patients and 40 nursing staff in Xuchang Longhu Hospital emergency surgery department from February 2022 to February 2023 were selected.Both patients and nursing staff were randomly divided into two groups,the control group of patients(50 cases),the research group of patients(50 cases);the control group of nursing staff(20 cases),the research group of nursing staff(20 cases).The control group was given the crisis management model,and the research group was given the shock index assessment on the basis of the control group.The diagnosis time,emergency to surgery time,emergency room stay time,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),quality of life,and satisfaction of the two groups of patients were compared,and the quality of nursing operation level of the two groups of nursing staff was compared.Results Patients in the study group confirmed,The time of consultation,time from emergency to surgery and length of stay in the emergency room were significantly lower than those of the control group(P＜0.05).After nursing,the study group patients physiology State Score,Social Functioning Score,Environmental Impact Score,Physical Pain Score,General Health Score,Social Functioning Score,Emotional Role Score,Mental Health The scores were higher than those of the control group,and the difference was statistically significant(P＜0.05).After nursing,the scores of anxiety and depression in the study group were significantly lower than those in the control group There was statistical significance(P＜0.05).After the training,the nursing quality operation score of the nursing staff in the study group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).After nursing,the satisfaction scores of patients in the study group were higher than those in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of shock index assessment combined with crisis management model in emergency surgery can effectively shorten the diagnosis time of patients,alleviate anxiety and depression,and improve the nursing quality operation level of nursing staff.
许丽娜;孟金凤
许昌龙湖医院 急诊科,河南 许昌 461000许昌市立医院 呼吸与危重症医学科,河南 许昌 461000
临床医学
休克指数评估危机管理模式急诊外科护理质量
shock index assessmentcrisis management modelemergency surgeryquality of nursing
《临床研究》 2024 (006)
167-171 / 5
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