■本研究旨在评估分级和分区护理管理对创伤性脑损伤(TBI)患者紧急治疗结果的影响。
■这项随机对照试验包括200例TBI患者。均给予常规护理(对照组,n=100)和一种新颖的分级和分区方法(研究组,n=100),分别。这种创新模式根据紧迫性和复杂性将护理组织成层次,促进有针对性的医疗反应和资源分配。比较的关键指标包括人口统计概况,咨询效率(时间指标和急诊治疗率),生理参数(HR,RR,MAP,SpO2,RBS),和患者预后(住院和ICU住院,并发症发生率,和紧急结果)。
■研究组的咨询效率显着提高,随着医生就诊时间的减少,考试,紧急停留,和专科转诊(所有p<0.001),除了更高的急诊治疗率(93%vs.79%,p=0.004),显著更好的生理稳定性,改善HR,RR,MAP,SpO2和RBS(p<0.001),缩短住院时间和ICU住院时间,并发症少,和优越的紧急结果。
■分级和分区护理管理大大提高了TBI患者的急诊护理效率和临床结果,提出了改进急诊治疗方案的可行模式。
UNASSIGNED: This research aimed to evaluate the impact of grading and zoning nursing management on traumatic brain injury (TBI) patients\' emergency treatment outcomes.
UNASSIGNED: This randomized controlled trial included 200 TBI patients. They were treated with a conventional care (control group, n = 100) and a novel grading and zoning approach (study group, n = 100), respectively. This innovative model organized care into levels based on urgency and complexity, facilitating targeted medical response and resource allocation. Key metrics compared included demographic profiles, consultation efficiency (time metrics and emergency treatment rates), physiological parameters (HR, RR, MAP, SpO2, RBS), and patient outcomes (hospital and ICU stays, complication rates, and emergency outcomes).
UNASSIGNED: The study group demonstrated significantly improved consultation efficiency, with reduced times for physician visits, examinations, emergency stays, and specialist referrals (all p < 0.001), alongside a higher emergency treatment rate (93% vs. 79%, p = 0.004), notably better physiological stability, improved HR, RR, MAP, SpO2 and RBS (p < 0.001), shorter hospital and ICU stays, fewer complications, and superior emergency outcomes.
UNASSIGNED: Grading and zoning nursing management substantially enhances TBI patients\' emergency care efficiency and clinical outcomes, suggesting a viable model for improving emergency treatment protocols.