Creation and practice of an emergency trauma patient care model based on the downward staging thinking
基于降阶梯思维的急诊创伤患者护理模式创建与实践

摘要

目的 分析在急诊创伤患者中开展基于降阶梯思维护理的临床应用效果。方法 随机筛选我院接收的急诊创伤患者60例，分组采取随机数字表法，共分为观察组与对照组，每组各有30例，对照组接受急诊常规护理，观察组开展基于降阶梯思维护理模式，对比分析两组护理效果。结果 护理后，观察组患者焦虑情绪评分低于对照组，患者依从性评分均高于对照组，分诊、ECG监测、静脉通路开放、呼吸支持与急诊抢救所用时间均短于对照组，护理不良事件以及并发症发生率低于对照组，最终取得的抢救成功率以及生活质量评分均高于对照组，（P＜.05）。结论 在急诊创伤患者护理管理中开展基于降阶梯思维护理，可进一步提升患者的舒适度与配合度，提高急诊抢救效率，减少护理不良事件及并发症发生。

Abstract

Objective To analyze the clinical application effect of implementing the de-escalation-based management in emergency trauma patients.
Methods 60 emergency trauma patients admitted to our hospital were randomly selected and divided into two groups using the random number table method. Each group consisted of 30 patients. The control group received routine emergency care, while the observation group implemented the de-escalation-based management model. The nursing effects of the two groups were compared and analyzed.
Results After nursing, the anxiety score of patients in the observation group was lower than that of the control group, the patient compliance score was higher than that of the control group, the time for triage, ECG monitoring, opening of intravenous access, respiratory support, and emergency rescue was shorter than that of the control group, the incidence of nursing adverse events and complications was lower than that of the control group, and the final rescue success rate and quality of life score were higher than those of the control group (P < 0.05).
Conclusion   Implementing the de-escalation-based management in the nursing management of emergency trauma patients can further improve the comfort and cooperation of patients, improve the efficiency of emergency rescue, and reduce the occurrence of nursing adverse events and complications.