院前急救流程的规范化管理对提高救护效果的影响(1)
摘 要:目的 研究院前急救流程的规范化管理对提高救护效果的影响。方法 回顾分析2017年3月~2018年3月我院实施院前急救规范化管理前后各84例患者的临床资料,观察规范化实施前后急救出车速度、急救成功率、患者满意度等情况。结果 规范化管理实施后,出车反应时间和途中耗时缩短[(1.93±0.32)min vs (3.08±0.40)min,(2.88±0.46)min vs (4.77±0.54)min],急救成功率提高(97.61% vs 90.47%),呼救不应率降低(0 vs 8.00%),差异有统计学意义(P<0.05)。实施后,患者满意度提高(98.80% vs 82.14%),差异有统计学意义(P<0.05)。结论 规范化管理院前急救流程,可有效提高救护效果,改善患者满意度,缩短院前急救时间,值得临床借鉴。
关键词:院前急救流程;规范化管理;救护
中图分类号:R197.323 文献标识码:B DOI:10.3969/j.issn.1006-1959.2018.24.007
, http://www.100md.com
文章编号:1006-1959(2018)24-0026-03
Abstract:Objective The impact of standardized management of the pre-hospital process of the Institute on improving the effectiveness of the rescue. Methods The clinical data of 84 patients before and after the implementation of pre-hospital first-aid management in our hospital from March 2017 to March 2018, and observe the emergency delivery speed, first-aid success rate, patient satisfaction and other conditions before and after standardized implementation.Results After the implementation of standardized management, the response time and the time of the journey were shortened [(1.93±0.32) min vs (3.08±0.40) min, (2.88±0.46) min vs (4.77±0.54) min], and the success rate of first aid was improved (97.61% vs 90.47%), the rate of call for help was reduced (0 vs 8.00%), before and after comparison, the difference was statistically significant (P<0.05). After implementation, patient satisfaction increased (98.80% vs 82.14%),the difference was statistically significant (P<0.05). Conclusion Standardized management of pre-hospital emergency procedures can effectively improve the effectiveness of rescue, improve patient satisfaction, and shorten pre-hospital first aid time, which is worthy of clinical reference.
, 百拇医药
Key words:Pre-hospital emergency procedure;Standardized management;Ambulance
院前急救是急救医疗体系的重要组成部分,也是临床急救的重要环节和重要基础。院前救护效果直接影响患者的病情好转,是保证急救成功,最大化挽救患者生命的基础[1]。因此,院前急救流程的规范化管理具有重要的临床意义。规范化管理的实施可预防患者病情的恶化,减少伤残和病痛,使患者及时得到有效的处理,为医院的进一步救治奠定基础。本文作者结合临床资料,具体分析院前急救流程规范化管理对提高救护效果的影响,为改变传统院前急救提供一定的参考依据。希望通过规范化管理,可以提高院前急救护理质量,使院前急救流程更规范、更准确,尽最大努力取得良好的院前急救效果,现报告如下。
1资料与方法
1.1一般资料 回顾分析2017年3月~2018年3月北京市延庆区医院实施院前急救规范化管理前后各84例患者的临床资料。纳入标准:①均有完整的院前急救资料;②在接诊前均未接受过其他的治疗。排除标准:①合并严重心肺功能不全者;②肿瘤、甲状腺功能亢进、过敏体质者;③妊娠和哺乳期妇女及抢救无效死亡者。实施前的患者男49例,女35例,年齡14~68岁,平均年龄(45.10±6.11)岁;实施后的患者男44例,女40例,年龄16~65岁,平均年龄(43.52±4.06)岁。实施规范化管理前后患者的性别、年龄等一般资料比较,差异无统计学意义(P>0.05),具有可比性。, http://www.100md.com(王毅)
关键词:院前急救流程;规范化管理;救护
中图分类号:R197.323 文献标识码:B DOI:10.3969/j.issn.1006-1959.2018.24.007
, http://www.100md.com
文章编号:1006-1959(2018)24-0026-03
Abstract:Objective The impact of standardized management of the pre-hospital process of the Institute on improving the effectiveness of the rescue. Methods The clinical data of 84 patients before and after the implementation of pre-hospital first-aid management in our hospital from March 2017 to March 2018, and observe the emergency delivery speed, first-aid success rate, patient satisfaction and other conditions before and after standardized implementation.Results After the implementation of standardized management, the response time and the time of the journey were shortened [(1.93±0.32) min vs (3.08±0.40) min, (2.88±0.46) min vs (4.77±0.54) min], and the success rate of first aid was improved (97.61% vs 90.47%), the rate of call for help was reduced (0 vs 8.00%), before and after comparison, the difference was statistically significant (P<0.05). After implementation, patient satisfaction increased (98.80% vs 82.14%),the difference was statistically significant (P<0.05). Conclusion Standardized management of pre-hospital emergency procedures can effectively improve the effectiveness of rescue, improve patient satisfaction, and shorten pre-hospital first aid time, which is worthy of clinical reference.
, 百拇医药
Key words:Pre-hospital emergency procedure;Standardized management;Ambulance
院前急救是急救医疗体系的重要组成部分,也是临床急救的重要环节和重要基础。院前救护效果直接影响患者的病情好转,是保证急救成功,最大化挽救患者生命的基础[1]。因此,院前急救流程的规范化管理具有重要的临床意义。规范化管理的实施可预防患者病情的恶化,减少伤残和病痛,使患者及时得到有效的处理,为医院的进一步救治奠定基础。本文作者结合临床资料,具体分析院前急救流程规范化管理对提高救护效果的影响,为改变传统院前急救提供一定的参考依据。希望通过规范化管理,可以提高院前急救护理质量,使院前急救流程更规范、更准确,尽最大努力取得良好的院前急救效果,现报告如下。
1资料与方法
1.1一般资料 回顾分析2017年3月~2018年3月北京市延庆区医院实施院前急救规范化管理前后各84例患者的临床资料。纳入标准:①均有完整的院前急救资料;②在接诊前均未接受过其他的治疗。排除标准:①合并严重心肺功能不全者;②肿瘤、甲状腺功能亢进、过敏体质者;③妊娠和哺乳期妇女及抢救无效死亡者。实施前的患者男49例,女35例,年齡14~68岁,平均年龄(45.10±6.11)岁;实施后的患者男44例,女40例,年龄16~65岁,平均年龄(43.52±4.06)岁。实施规范化管理前后患者的性别、年龄等一般资料比较,差异无统计学意义(P>0.05),具有可比性。, http://www.100md.com(王毅)