Study on the success rate of rescue and management quality of emergency ICU severe trauma patients based on programmed management
基于程序化管理对急诊ICU严重创伤患者抢救成功率及管理质量改善的研究

摘要

目的 研究基于程序化管理对急诊ICU严重创伤患者抢救成功率及管理质量改善的效果。方法回顾本院在2020年12月-2021年12月之间接诊的急诊ICU严重创伤患者100例进行研究，经由计算机随机分组，将全部100例患者均分入对照组、观察组，其中对照组急诊ICU严重创伤患者在常规护理管理模式下出院，观察组急诊ICU严重创伤患者在程序化管理模式下出院，对比两组当天抢救成功例数与占比，统计抢救后患者对管理工作的满意度；对比程序化管理与常规管理模式下，抢救评估、抢救准备、抢救人员协调、抢救风险防控的评分；对比急诊ICU严重创伤患者抢救成功后的VAS疼痛评估等级。结果 观察组当天抢救成功例数与占比较高，观察组抢救后患者对管理工作的满意度较高，程序化管理下抢救评估、抢救准备、抢救人员协调、抢救风险防控的评分偏高，观察组急诊ICU严重创伤患者抢救成功后的VAS疼痛评估等级偏低，（P<0.05）。结论 急诊ICU严重创伤患者抢救中，施行程序化管理，可系统且有序的开展抢救工作，有益于风险防控，提升成功率，可改善整体的管理质量，维护患者的生命安全。

Abstract

Objective To study the effect of programmed management on the success rate and management quality of emergency ICU patients.
Methods The 100 patients with severe emergency ICU trauma treated between December 2020-December 2021 were reviewed, By means of computer randomization groups, All the 100 patients were equally divided into the control group and the observation group, In the control group, patients with severe emergency ICU trauma were discharged under the usual care management mode, Patients with severe emergency ICU trauma in the observation group were discharged under a programmed management mode, Comparing with the number and proportion of successful cases in the rescue of the two groups, Patients' satisfaction with management work after rescue; Comparing the program management mode with the conventional management mode, Rescue evaluation, rescue preparation, rescue personnel coordination, rescue risk prevention and control score; Compare the VAS pain assessment grade after successful rescue of emergency ICU severe trauma patients.
Results obser- vation group on the day, observation group rescue patient satisfaction with management, rescue assessment, rescue preparation, rescue personnel coordination, rescue risk prevention and control score on the high side, observation group emergency ICU severe trauma patients after successful VAS pain assessment level is low, (P<0.05).
Conclusion   In the rescue of severe trauma patients in emergency ICU, procedural management can carry out the rescue work systematically and orderly, which is beneficial to risk prevention and control, improve the success rate, improve the overall management quality, and maintain the life safety of patients.