Combined application of overall optimization of emergency nursing model and its influence on patients' stress response and nursing satisfaction
急诊护理模式整体优化联合应用及其对患者应激反应和护理满意度的影响

摘要

目的 探讨综合急诊护理模式与多学科小组（MDT）教学方法在急诊多发伤护理实践中的应用及其对患者应激反应和护理满意度的影响。方法 研究对象为2021年7月至2022年7月在本院急诊就诊的120例多发伤患者，按入院顺序分为A组和B组，每组各60例。A组护理人员MDT教学培训；B组整体优化急救护理。比较两组护理人员的考核得分。观察两组患者外周血C反应蛋白（CRP）水平、护理满意度。结果 A组护理人员成绩得分显著高于B组护理人员。A组治疗后C反应蛋白水平明显低于B组，A组首次救治时间明显短于B组。结论 急诊护理模式的整体优化与MDT教学相结合，可以缩短急诊多发伤患者的抢救过程，减少并发症发生的可能性，患者对这种护理模式似乎更放心。

Abstract

Objective: To explore the application of comprehensive emergency nursing model and multidisciplinary team (MDT) teaching method in the nursing practice of emergency multiple injuries and its influence on patients' stress response and nursing satisfaction.
Methods: A total of 120 patients with multiple injuries who were admitted to the emergency department of our hospital from July 2021 to July 2022 were divided into group A and group B according to the order of admission, with 60 cases in each group. Group A nurses MDT teaching and training; Group B optimized emergency care as a whole. The assessment scores of nursing staff were compared between the two groups. The level of peripheral blood C-reactive protein (CRP) and nursing satisfaction were observed in the two groups.
Results: The scores of nurses in group A were significantly higher than those in group B. After treatment, the level of C-reactive protein in group A was significantly lower than that in group B, and the first treatment time in group A was significantly shorter than that in group B.
Conclusion  : The overall optimization of emergency nursing model combined with MDT teaching can shorten the rescue process of patients with multiple injuries in emergency department, reduce the possibility of complications, and patients seem to be more comfortable with this nursing model.