何雁洪 钟文珠

[摘要]目的 研究分析预检分诊与护理方案在急诊创伤患者中的应用效果。方法 选取我院2016年10月～2017年10月收治的94例急诊创伤患者，按照随机数字表法分为研究组（n=47）和对照组（n=47）。对照组给予传统常规分诊与护理方案，实验组给予预检分诊与护理方案，并比较分析两组的临床护理失误率以及临床护理满意度。结果 研究组的临床护理失误率为2.13%，低于对照组（23.40%），差异有统计学意义（P<0.05）；研究组的临床护理总满意度为95.74%，高于对照组，差异有统计学意义（P<0.05）。结论 急诊创伤患者临床治疗中应用预检分诊与护理方案，能为患者提供更高质量临床护理服务，有效控制临床护理失误率，达到预期临床护理效果，应用价值更突出。

[关键词]急诊；创伤患者；护理满意度；预检分诊

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2018）8（c）-0209-03

[Abstract] Objective To study the application effect of pre-examination triage and care programs in trauma patients in emergency. Methods All of 94 cases of emergency trauma in our hospital from October 2016 to October 2017 were selected. According to the random number table method， they were divided into the study group and the control group， 47 cases in each group. The control group was given routine triage and care program， the experimental group was given pre-examination triage and care program， and comparative analysis of different groups of patients with clinical nursing failure rate and patients′ clinical nursing satisfaction. Results The clinical nursing failure rate in the study group was 2.13%， which was lower than that in the control group （23.40%）， and the difference was statistically significant （P<0.05）. The total satisfaction clinical nursing in the study group was 95.74%， which was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion In the clinical treatment of emergency trauma patients， the pre examination and nursing plan can provide patients with higher quality clinical nursing service， control the clinical nursing error rate effectively and achieve the expected clinical nursing effect， and the application value is more prominent.

[Key words] Emergency Treatment； Trauma Patients； Degree of Satisfaction of Nursing； Pre-Examination Triage

每年我国各大医院急诊科收治的创伤患者在总人数方面均占有一定比重[1]，且近几年其发病率还呈上升趋势，这与交通事业飞速发展存在一定关系[2]。急诊创伤以外伤居多，最常见的创伤以高空坠落、交通事故、打架机械性致伤等为主[3]。急诊创伤发病突然、病情危急，多需要接受紧急就诊[4]。急诊创伤病症具有一定致残率及死亡率，对患者的生命安全造成较大威胁。急诊科是医院的重要科室组织[5]，其多救治病情危急患者，患者的临床治疗效果、生存质量与急诊科的救治存在直接关系。急诊科的主要工作是确定患者临床表现、了解患者生命体征指标前提下对患者进行分诊，安排接受临床救治[6]，短时间内控制病情发展、降低临床风险，提高患者生存质量[7]。本研究共选取急诊创伤患者分为实验组与对照组，其中实验组给予预检分诊护理，效果突出，现报道如下。

1资料与方法

1.1 一般资料