急诊科护士严重创伤患者休克急救护理效果的临床回顾性研究

Clinical Retrospective Study on the Effect of Emergency Nursing for Shock in Patients with Severe Trauma by Emergency Department Nurses

摘要: 目的：回顾性分析急诊科护士对严重创伤合并休克患者实施急救护理的临床效果，明确护理要点及影响因素，为优化急诊科严重创伤休克患者急救护理方案、提高24小时存活率、降低病死率、改善患者预后提供临床参考。方法：选取本院急诊科2021年1月至2023年12月收治的152例严重创伤合并休克患者作为研究对象，回顾性分析所有患者的临床资料、急诊科护士实施休克急救护理的具体措施，根据护理干预质量分为优质急救护理组(78例)和常规急救24小时存活率救护理组(74例)。常规急救护理组实施严重创伤及休克常规急救护理，优质急救护理组在常规护理基础上，由急诊科护士实施系统性、规范化休克急救护理，比较两组患者24小时存活率、休克纠正时间、住院时间、并发症发生率及护理满意度，分析急诊科护士休克急救护理效果的主要影响因素。结果：优质急救护理组患者急救成功率(92.31%)显著高于常规急救护理组(77.03%)，休克纠正时间、住院时间显著短于常规急救护理组，并发症发生率(7.69%)显著低于常规急救护理组(21.62%)，护理满意度(94.87%)显著高于常规急救护理组(81.08%)，差异均有统计学意义(P < 0.05)。多因素Logistic回归分析显示，护士严重创伤休克急救护理经验、专项培训经历、急救反应速度及护理流程规范度是影响急救护理效果的主要因素(P < 0.05)。结论：急诊科护士对严重创伤休克患者实施系统性、规范化急救护理，可有效提高急救成功率，缩短休克纠正时间及住院时间，降低并发症发生率，提升护理满意度；加强急诊科护士专项培训、提升急救反应能力、规范护理流程，可进一步优化护理效果，改善患者预后，值得临床推广应用。

Abstract: Objective: To retrospectively analyze the clinical effect of emergency nursing implemented by emergency department nurses for patients with severe trauma complicated with shock, clarify the key nursing points and influencing factors, so as to provide clinical reference for optimizing the emergency nursing plan for patients with severe traumatic shock in the emergency department, improving the emergency success rate, reducing the mortality rate and enhancing patients’ prognosis. Methods: A total of 152 patients with severe trauma complicated with shock admitted to the emergency department of our hospital from January 2021 to December 2023 were selected as the research subjects. The clinical data of all patients and the specific measures of emergency nursing for shock implemented by emergency department nurses were retrospectively analyzed. According to the quality of nursing intervention, the patients were divided into a high-quality emergency nursing group (78 cases) and a routine emergency nursing group (74 cases). The routine emergency nursing group received conventional emergency nursing for severe trauma and shock, while the high-quality emergency nursing group received systematic and standardized emergency nursing for shock by emergency department nurses on the basis of conventional nursing. The emergency success rate, shock correction time, hospital stay, incidence of complications and nursing satisfaction were compared between the two groups, and the main influencing factors of the effect of emergency nursing for shock by emergency department nurses were analyzed. Results: The emergency success rate of the high-quality emergency nursing group (92.31%) was significantly higher than that of the routine emergency nursing group (77.03%), the shock correction time and hospital stay were significantly shorter than those of the routine emergency nursing group, the incidence of complications (7.69%) was significantly lower than that of the routine emergency nursing group (21.62%), and the nursing satisfaction (94.87%) was significantly higher than that of the routine emergency nursing group (81.08%), with statistically significant differences (P < 0.05). Multivariate Logistic regression analysis showed that nurses’ emergency nursing experience in severe traumatic shock, special training experience, emergency response speed and standardization of nursing process were the main factors affecting the effect of emergency nursing (P < 0.05). Conclusion: The implementation of systematic and standardized emergency nursing by emergency department nurses for patients with severe traumatic shock can effectively improve the emergency success rate, shorten the shock correction time and hospital stay, reduce the incidence of complications and improve nursing satisfaction. Strengthening the special training of emergency department nurses, improving emergency response capacity and standardizing the nursing process can further optimize the nursing effect and improve patients’ prognosis, which is worthy of clinical promotion and application.