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目的通过对我院急诊科工作人员进行结构化团队护理模式培训,探索该培训在急诊流程及时效性中的影响。方法将2015年1月-2015年10月在我院急诊科的进行抢救的患者随机分为试验组和对照组,每组均为88例。参加过结构化团队护理模式培训的医务人员抢救试验组患者,而未参加培训的医务人员抢救对照组。研究结束后比较试验组和对照组给药时间、建立静脉通道时间、及抢救总时间等体现时效性的指标;并比较两组抢救成功率;另外通过随访调查,统计每组患者不良事件的发生率。结果 (1)对照组给药时间、建立静脉通道时间以及抢救总时间均明显大于试验组,结果具有统计学意义(P<0.05);(2)试验组患者的抢救成功率高于对照组,并且前者不良事件发生率明显低于后者,差异均具有统计学意义(P<0.05)。结论结构化团队护理模式在急诊流程及时效性方面作用显著,值得临床进一步优化推广。
Objective To explore the impact of the training on the emergency process and timeliness by training the emergency department staff in our hospital with structured team nursing mode. Methods From January 2015 to October 2015, emergency patients in our hospital were randomly divided into experimental group and control group, with 88 cases in each group. The medical staff who participated in the training of the structured team nursing mode rescued the patients in the experimental group, while the medical staff who did not participate in the training rescued the control group. At the end of the study, comparing the time of administration of test group and control group, establishing the time of venous channel, and the total time of rescue and so on, and comparing the success rate of rescue in two groups; in addition, the incidence of adverse events rate. Results (1) The time of administration, the time of establishment of venous channel and the total time of rescue in control group were significantly larger than those in experimental group (P <0.05); (2) The success rate of rescue in experimental group was higher than that in control group And the former incidence of adverse events was significantly lower than the latter, the differences were statistically significant (P <0.05). Conclusions Structured team nursing mode plays a significant role in emergency procedure and timeliness, which is worth further optimizing and promoting in clinical practice.