探讨优化急诊救治与护理流程在在灾害性事故骨科重症患者中的抢救效果及对患者预后的影响。

选择2016年1月至2018年1月山东省胶州市人民医院收治的灾害性事故骨科重症患者160例为研究对象进行回顾性性随机对照研究。对照组予以常规救治与护理流程，观察组予以优化急诊救治与护理流程。两组均进行7 d护理，护理完毕后对患者效果进行评估：记录并统计两组急诊反应时间、急救反应总时间、住院时间、检查时间；采用医院自拟问卷调查表进行患者满意度评估；记录并统计两组抢救成功率、截肢率、残疾率及病死率，比较两组患者的预后情况。

观察组急诊反应时间[(3.41±0.14)min比(9.55±1.21)min]、急救反应总时间[(15.39±3.21)min比(24.67±4.68)min]、住院时间[(15.39±2.31)d比(26.34±4.63)d]及检查时间[(24.35±4.31)min比(38.53±5.43)min]均短于对照组，差异有统计学意义(P均<0.05)。观察组优化急诊救治与护理流程护理后7 d满意度为97.5%(28/80)，高于对照组87.50%(70/80)，差异有统计学意义(P<0.05)。观察组抢救成功率高于对照组[97.50%(78/80)比87.50%(70/80)]，差异均有统计学意义(P<0.05)。而截肢率[1.25%(1/80)比3.75%(3/80)]、残疾率[1.25%(1/80)比5.00%(4/80)]及病死率[0比3.75%(3/80)]与对照组比较，差异无统计学意义(P均>0.05)。

将优化急诊救治与护理流程用于灾害性事故骨科重症患者中有助于缩短急诊、急救时间，提高护理满意度及抢救成功率，值得推广应用。

To explore the effect of optimizing emergency treatment and nursing procedures on the rescue effect and prognosis of critically ill patients with severe accidents.

A total of 160 critically ill patients with orthopedic accidents were selected from January 2016 to February 2018. The time points were divided into control group (n=80, January 2016 - January 2017) and observation group (n=80) (February 2017 - January 1818). The control group received routine treatment and nursing. The observation group was optimized for emergency treatment and nursing procedures. Both groups were treated with 7 days of care. After the nursing was completed, the patient's effect was evaluated. Emergency response, total emergency response time, hospitalization time, and examination time were recorded and counted in the two groups; the hospital self-study questionnaire was used to evaluate the two groups' rescue and post-care satisfaction; rescue success rate, amputation rate, disability rate and mortality rate were compared between the two groups.

The emergency response time of the observation group was optimized 7 days after emergency treatment and nursing process [(3.41±0.14) min vs (9.55±1.21) min], total emergency response time [(15.39±3.21) min vs (24.67±4.68) min], hospital stay [(15.39±2.31)d vs (26.34±4.63)d] and the examination time [(24.35±4.31) min vs (38.53±5.43) min] that were shorter than those of the control group, and the differences were statistically significant (P<0.05). The emergency treatment and nursing process care were optimized in the observation group and satisfactory rate was 97.5% (28/80), which was higher than that of the control group 87.50% (70/80), with statistically significant difference (P<0.05). The success rate of the observation group was higher than that of the control group ([97.50% (78/80) vs 87.50% (70/80)] P<0.05). The amputation rate [1.25% (1/80) vs 3.75% (3/80)], the disability rate [1.25% (1/80) vs. 5.00% (4/80)] and the mortality rate [0 to 3.75%) (3/80)] were improved in the observation group compared with the control group, but there was no statistical significance (P>0.05).

Optimizing emergency treatment and nursing procedures for critically ill orthopaedic patients can help shorten emergency and first aid time, improve nursing satisfaction and rescue success rate, and it is worthy of promotion and application.