循证护理在创伤性休克患者院前抢救效果及对满意度的影响

摘要

目的：探讨循证护理流程在创伤性休克患者院前抢救效果以及对满意度的影响。方法：61例创伤性休克患者按照接诊的先后顺序分为观察组31例和对照组30例，对照组实施传统的护理就诊流程，观察组实施循证护理流程，比较救治结局。结果：观察组患者休克缓解时间（2．34±0．49） h及术前准备时间（10．11±2．02）min，均短于对照组的（2．81±0．50）h及术前准备时间（17．83±2．78）min，差异有统计学意义（ P＜0．05）。观察组患者抢救成功率90．32％、并发症发生率22．58％，对照组抢救成功率76．67％，并发症发生率36．67％，差异有统计学意义（ P＜0．05）。观察组非常满意27例、一般满意2例和不满意2例，对照组非常满意24例、一般满意4例和不满意2例，差异有统计学意义（ P＜0．05）。结论：循证护理流程能快速缓解创伤性休克，保持生命体征稳定，提高院前抢救效果，降低并发症发生率，提高护理满意度。%Objective:To investigate the pre-admission emergency treatment effects of evidence-based care and the effects on the degree of satisfaction in patients with traumatic shock.Method:A total of 61 pa-tients with traumatic shock were divided into observation group ( 31 patients ) and control group ( 30 pa-tients) according to the sequence of visit.The control group was given with traditional nursing care, while the observation group was given with evidence-based care, and the emergency treatment outcomes were com-pared.Result:In the patients of the observation group, the shock remission time and preoperative preparation time were (2.34±0.49) hours and (10.11±2.02) min, respectively, while those of the control group were (2.81±0.50) hours and (17.83±2.78) min, respectively;the patients of the observation group had shorter shock remission time and preoperative preparation time than htose of the control group, and the differences were statistically significant ( P<0.05) .The achievement ratio of emergency treatment and the incidence of complications of the patients of the observation group were 90.32%and 22.58%, respectively, while those of the control group were 76.67%and 36.67%, respectively, and the differences were statistically significant ( P<0.05) .In the observation group, 27 patients were extremely satisfied, 2 patients were generally satis-fied, and 2 patients were unsatisfied;while in the control group, 24 patients were extremely satisfied, 4 pa-tients were generally satisfied, and 2 patients were unsatisfied;and the difference was statistically significant ( P<0.05) .Conclusion:Evidence-based care can rapidly release traumatic shock, keep vital signs stable, elevate pre-admission emergency treatment effects, reduce the incidence of complications, and elevate de-gree of satisfaction to the nursing care.