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,LiXuezhenAbstract:Objective:Tostudytheeffectofofapplicationofquicknursingprocessinseverecraniocerebralinjuryinemergency.Methods:208SCIpatientsweredividedintotheobservationgroup(2009.12010.12)andcontrolgroup(2011.12012.12),accordingtoadmissiontime.Observationgroup:106casesofpatientswithSCI,adoptedQNP;Controlgroup:102casesofpatientswithSCI,adoptedregularprogram.Rescues,disabilityandmortality,prognosis,andsatisfactionoftwogroupswerecompared.Results:Receiving-confirmedtime,savetimeofpatientsinobservationgroupweresignificantlylessthanthecontrolgroup,withthesignificantdifference(P<0.001).Therescueexpensesofobservationgroupwasobviouslylessthancontrolgroup,candthereweresignificantdifference(P<0.001).GSCscore,GOSscoreinobservationgroupwereobviouslyhigherthanthatofcontrolgroup,withstatisticallysignificantdifference(allP<0.001).Morbidityandmortalityratesinobservationgroupwere20.75%,7.55%;Morbidityandmortalityratesofcontrolgroupwere33.33%,16.67%respectively.Morbidityandmortalityratesinobservationgroupwerelowerthanthecontrolgroup,andthedifferencewasstatisticallysignificant(allP<0.05).Satisfactionofobservationgroupwasobviouslyhigherthanthatofcontrolgroup,andthereweresignificantdifference(P<0.01).Conclusion:ApplyingemergencyQNPforSCIpatients,canshortentherescuetime,savecostsandreducemorbidity,mortality,andimprovethesuccessrateofrescue,andcaneffectivelyimprovetheprognosisofpatients,andalsocanpromotesatisfactionmeanwhile.Keywords:quicknursingprocess;emergency;severecraniocerebralinjury;effect重型频脑损伤(severecraniocerebralinjury,SCI)发病庖急，可由多种外伤(如车祸、高处坠落等)导致，病死率和致残率涔比较高，给社会及家庭带来沉重负担［1,2］。争取诊治吋间，尽早进行抢救治疗，对提高SCI患者的抢救成功率、减少死亡率和残疾率具有重要意义［3-7］。其中，建立科学快捷的急诊快捷护理流程(quicknursingprocess,QNP)脊着蚕要的现实意义和临床价值，可为救治赢得宝贵吋间从而提高抢救成功率、降低致残率及病死率［8,9］。我院急诊科于2011.1-2012.12期间对106例SCI患者采取QNP护理模式，效果满意。现将结果报道如下。1.资料与方法1.1一般资料选择2009.1-2012.12期间在我院急诊...