关欣 林慧绒 陈小荷

【摘要】 目的 探讨构建急危重患者急诊就诊连续性护理模式的临床价值。方法 选取本院

2014年8月～2015年11月收治的100例急危重患者作为对照组， 另选取2016年1月～2017年7月

收治的100例急危重患者作为观察组。对照组给予常规护理， 观察组患者给予急诊就诊连续性护理模式。从观察组和对照组每例患者中各选取1例家属分别作为家属组A和家属组B， 各100例。对比两组的抢救室停留时间、家属对护理工作的满意度， 并采用医护合作量表（NPCS）评价两组的医护合作关系。

结果 观察组抢救室停留时间为（31.59±7.01）min， 显著短于对照组的（180.27±37.45）min， 差异有统计学意义（P<0.05）。家属组A对护理的连续性、及时性、全面性、安全性的满意度评分高于家属组B， 差异有统计学意义（P<0.05）。观察组医护共同参与病情治疗和护理、医护信息共享、医护相互关心和协作评分均高于对照组， 差异有统计学意义（P<0.05）。结论 构建急危重患者急诊就诊连续性护理模式于提升急诊抢救效率及家属满意度、改善医护合作关系均具重要价值。

【关键词】 急危重患者；急诊就诊；连续性护理

DOI：10.14163/j.cnki.11-5547/r.2018.10.090

【Abstract】 Objective To discuss the clinical value of constructing continuous nursing model for emergency treatment of critically ill patients. Methods There were 100 critically ill patients receiving from August 2014 to November 2015 as control group， and 100 critically ill patients receiving from January 2016 to July 2017 as observation group. The control group received conventional nursing， and the observation group received constructing continuous nursing model for emergency treatment. 1 family member from observation group and control group was selected as family group A and family group B， with 100 cases in each group. The resuscitation room retention time and family satisfaction to nursing work were compared between the two groups， and nurse-physician collaboration scale （NPCS） was used to evaluate the medical cooperation. Results The observation group had obviously shorter resuscitation room retention time as （31.59±7.01） min than （180.27±37.45） min in the control group， and the difference was statistically significant （P<0.05）. Family group A had higher satisfaction to nursing continuity， timeliness， comprehensiveness and safety than family group B， and the difference was statistically significant （P<0.05）. The observation group had higher doctor-nurse participating in the treatment and care of illness， health care information sharing， medical care and mutual cooperation score than the control group， and the difference was statistically significant （P<0.05）. Conclusion Constructing continuous nursing model for emergency treatment of critically ill patients is of great value in improving emergency treatment efficiency and family satisfaction， and medical cooperation.

【Key words】 Critically ill patients； Emergency treatment； Continuous nursing

急診科较其他科室而言， 不仅工作量大、急危重患者多， 并具多学科交叉特征， 也是医院发生医患纠纷的主要科

室[1]。急诊科护士工作也具一定特殊性， 不仅工作区域相对独立， 且急诊科护理管理工作直接关系着患者的生命安全， 因此， 急诊科对护理工作者处理问题的能力、专业技能也有更高要求。而有效的管理模式便是直接影响着整个护理团队的工作质量以及护士综合素质的主要因素之一[2]。……