Effect analysis and establishment of green nursing channel for emergency patients with severe acute traumatic shock / 中国中西医结合急救杂志

ABSTRACT

Objective To explore the effect of establishment of green nursing channel for emergency patients with severe acute traumatic shock on quality of nursing care. Methods Fifth-six patients with severe acute traumatic shock who received nursing by green nursing channel admitted to Department of Adult Emergency of Second Affiliated Hospital of Wenzhou Medical University (Yuying Children's Hospital) from October 2016 to November 2017 were assigned in the research group, and at the same time, 42 patients with the same disease adopted conventional nursing mode from March 2015 to September 2016 were in the control group. The emergency treatment time, special inspection time, emergency to the operating room time, admission to operation time of patients, the incidences of the asphyxia and multiple organ dysfunction syndromes (MODS), and success rate of rescue in the two groups were recorded; the degree of patients satisfaction were observed. Results The emergency room treatment time (minutes 13.51±3.62 vs. 20.84±3.96), special inspection time (minutes 16.30±4.05 vs. 23.71±4.16) and admission to operation time (minutes42.61±7.98 vs. 57.83±7.46) in the study group were significantly shorter (all P ＜ 0.05), the incidences of asphyxia and MODS in the study group were obviously lower than those in the control group [asphyxia 1.79% (1/56) vs. 11.90% (5/42), MODS 3.57% (2/56) vs. 16.67% (7/42), both P ＜ 0.05], and the success rate of rescue in the study group was significantly higher than that in the control group [100.00% (56/56) vs. 92.86% (39/42), P ＜ 0.05]; the degree of patients satisfaction in the study group was obviously higher than that in the control group [96.43% (54/56) vs. 83.3% (35/42)], and the differences between the two groups were statistically significant (all P ＜ 0.05). Conclusion The establishment of a green nursing channel for emergency patients with severe acute traumatic shock is helpful to improve the emergency working efficiency, shorten the time for nursing emergency response, and its application effect is good.