院内专业化救护路径在高原地区批量地震伤员救治中的应用
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摘要
目的探讨院内专业化救护路径在高原地区批量地震伤员救治中的应用。方法 2013年7月批量收治31例地震伤员,采用统一明确检查分类、实施救护小组负责制、开放绿色生命通道、批量地震伤员转运、提供个性化专科救治方案、对伤员有效心理支持等院内专业化救护路径对其进行院内急救、手术与术后处理及临床治疗。结果 31例伤员的抢救成功率为100%,无一例伤员因抢救不及时或接诊、分诊不及时而造成不良后果,无一起医患纠纷,31例伤员均康复出院或病情稳定后回当地医院继续治疗。结论院内专业化救护路径模式提高了医疗团队的高原护理能力及灾后护理能力,确保了高原地区的应急救护质量和效率。
Objective To explore organization and management of the plateau specialized hospital ambulance transport path in batch of wounded rescue in the earthquake.Methods 31 patients were selected and explicitly checked by using a unified classification system,and responsible by rescue teams,open green life channel,earthquakes bulk of wounded patients transport,provide personalized specialist treatment plan,psychological support and other hospital professionalize rescue path to perform emergency surgery and postoperative treatment and clinical outcomes.Results The survival rate was 100% with no adverse outcome due to no one rescue was not timely,lack of prompt rescue and triage was not timely,no doctor-patient conflict,31 patients were all covered and stable and had continues treatment in the local hospital.Conclusion Plateau specialization hospital ambulance transport path mode can enhance the plateau nursing care ability and disaster nursing care ability to ensure the quality and efficiency of the plateau emergency care.
引文
[1]李素芝,高钰琪.高原疾病学[M].北京:人民卫生出版社,2006.
    [2]谢培增,陈大军,汪先兵,等.军队医院野战医疗所在非战争军事行动时医疗救护的展开实践[J].华南国防医学杂志,2009,23(5):64-67.
    [3]杨延忠.健康教育学[M].北京:人民卫生出版社,2007:27-70.
    [4]李娟,陆皓,胡军,等.高海拔地区院前院内一体化救护路径在群体伤救治中的应用效果[J].中华现代护理杂志,2013,19(17):2070-2072.
    [5]陈小杭.急救护理学[M].北京:北京大学医学出版社,2009:1.
    [6]黄萍,沈红,陈雁,等.成组化分诊模式在应对突发大批量伤员救治中的应用[J].中华护理杂志,2012,47(4):326-327.
    [7]王丽.高原地区军队在职疗养员多元化需求的调查与护理干预措施[J].中国疗养医学,2012,21(2):123-124.
    [8]成翼娟,胡秀英,叶磊.自然灾害群体伤救护的护理管理策略[J].护理管理杂志,2010,10(10):685-687.

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