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1、急诊快捷护理流程在重型颅脑损伤中的应用分析谭春兴杨艳青李共甜李俊李雪贞［摘要］目的：探讨对急诊科急性脑卒中(SCI)患者应用快捷护理流程(QNP)的效果。方法:将208例SCI患者按照入院时间的不同分为观察组(2009.1-2010.12)和对照组(2011.1-2012.12)。观察组：106例SCI患者，釆取QNP;对照组：102例SCI患者，进行常规就诊程序。对比两组抢救情况、残疾率、死亡率、预后情况及满意度。结果：观察组患者接诊到确诊时间、抢救时间明显少于对照组，两组相比，差异显著(P<0.001)。观察组抢救费用明显少于对
2、照组，两组相比，差异有显著统计学意义(P<0.001)。观察组GSC评分、GOS评分明显高于对照组，差异有显著统计学意义(均为P<0.001)。观察组致残率、死亡率分别为20.75%、7.55%；对照组致残率、死亡率分别为33.33%、16.67%。观察组致残率和死亡率低于对照组，差异有统计学意义(均为P<0.05)。观察组满意度明显高于对照组，差异有显著统计学意义(P<0.01)o结论：对SCI患者实施急诊QNP,可以缩短抢救时间、抢救费用，降低致残率、死亡率，提高抢救成功率，有效改善患者预后，同时还可以提升满意
3、度。［关键词］快捷护理流程急诊重型颅脑损伤效果DOI:10.3760/cma.j.issn.1672-7088.2014.9.77作者单位：529000广东江门，江门市人民医院急诊科［作者简介］谭春兴(1975-),女，汉族，广东江门人，木科，江门市人民医院急诊科护长，副主任护师，研究方向：临床护理。AnalysisofapplicationofquicknursingprocessinseverecraniocerebralinjuryinemergencyTanchunXing,YangYanqing,LiGongtian,LiJun
4、,LiXuezhenAbstract:Objective:Tostudytheeffectofofapplicationofquicknursingprocessinseverecraniocerebralinjuryinemergency.Methods:208SCIpatientsweredividedintotheobservationgroup(2009.12010.12)andcontrolgroup(2011.12012.12),accordingtoadmissiontime.Observationgroup:106case
5、sofpatientswithSCI,adoptedQNP;Controlgroup:102casesofpatientswithSCI,adoptedregularprogram.Rescues,disabilityandmortality,prognosis,andsatisfactionoftwogroupswerecompared.Results:Receiving-confirmedtime,savetimeofpatientsinobservationgroupweresignificantlylessthanthecontr
6、olgroup,withthesignificantdifference(P<0.001).Therescueexpensesofobservationgroupwasobviouslylessthancontrolgroup,candthereweresignificantdifference(P<0.001).GSCscore,GOSscoreinobservationgroupwereobviouslyhigherthanthatofcontrolgroup,withstatisticallysignificantdif
7、ference(allP<0.001).Morbidityandmortalityratesinobservationgroupwere20.75%,7.55%;Morbidityandmortalityratesofcontrolgroupwere33.33%,16.67%respectively.Morbidityandmortalityratesinobservationgroupwerelowerthanthecontrolgroup,andthedifferencewasstatisticallysignificant(a
8、llP<0.05).Satisfactionofobservationgroupwasobviouslyhigherthanthatofcontrolgroup,andtherewere
