Application of multidisciplinary collaborative nursing model based on intelligent nursing in the treatment of multiple trauma patients
基于智慧护理的多学科协作护理模式在多发性创伤患者救治中的应用研究

摘要

目的 探讨基于智慧护理结合多学科协作护理模式在多发性创伤患者中的救治效果。方法 采用回顾性分析，选择2022年1月至2023年12月成都中医药大学附属医院急诊科收治的多发性创伤患者作为研究对象。对照组选取2022年1-12月收治的多发性创伤患者的病例资料47例，采用常规救治护理模式；观察组选取2023年1-12月我院启动智慧护理系统后收治的多发性创伤患者47例，采用基于智慧护理系统的多学科协作模式实施护理。比较两组患者ISS评分、院前院内衔接时间、急诊抢救时间、急诊滞留时间、转运时间、监护室护理措施落实时间、首次专科护理会诊时间、抢救成功率、术后并发症发生率、患者满意度以及护士满意度。所有数据均采用SPSS22.0统计软件进行数据分析。结果 与对照组相比，观察组治疗过程中的ISS评分显著改善，急救过程中各阶段的时间节点显著缩短，抢救成功率升高，术后并发症降低，患者的满意度及护士的工作满意度均有所提升，组间差异均具有统计学意义（P＜0.05）。结论 运用智慧护理结合多学科协作护理模式到多发性创伤患者的救治中，可以优化护理流程，医护人员作出精准化护理决策，提高急救效率，提升患者的救治成功率，改善患者的各项护理结局，提升医疗整体水平与服务质量，提高护理人员素质和主观能动性，提高护理质量和服务效率，提高患者满意度。

Abstract

Objective To explore the therapeutic effect of intelligent nursing combined with multidisciplinary collaborative nursing model in multiple trauma patients.
Methods A retrospective analysis was performed on multiple trauma patients admitted to the emergency department of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from January 2022 to December 2023. In the control group, 47 patients with multiple trauma treated from January to December 2022 were selected, and the conventional treatment and nursing mode were adopted. The observation group selected 47 patients with multiple trauma who were admitted to our hospital after the smart nursing system was started from January to December 2023, and adopted the multidisciplinary collaborative mode based on the smart nursing system to implement nursing. The ISS score, pre-hospital connection time, emergency rescue time, emergency retention time, transport time, nursing measures implementation time in the ICU, first specialist nursing consultation time, rescue success rate, postoperative complication rate, patient satisfaction and nurse satisfaction of the two groups were compared. All data were analyzed using SPSS22.0 statistical software.
Results Compared with the control group, the ISS score in the observation group during treatment was significantly improved, the time nodes of each stage in the first aid process were significantly shortened, the success rate of rescue was increased, the postoperative complications were reduced, and the satisfaction of patients and nurses were improved, with statistical significance between groups (P < 0.05).
Conclusion   The application of intelligent nursing combined with multidisciplinary collaborative nursing mode in the treatment of multiple trauma patients can optimize the nursing process, improve the efficiency of emergency care, improve the success rate of treatment, improve the outcome of various nursing, improve the overall level of medical treatment and service quality, and improve the quality and subjective initiative of nursing staff. Improve the quality of care and service efficiency, improve patient satisfaction.