Evaluation of the impact of hierarchical responsibility nursing model on emergency response time and complications in patients with multiple injuries in the emergency department
急诊多发伤患者应用层级责任制护理模式对急救时间及并发症的影响评估

摘要

目的 探讨急诊多发伤患者接受层级责任制护理后，对其急救时间以及并发症的影响。方法 选择我院于2024年1月-2025年1月一年内收治的急诊多发伤患者100例，将所有患者按护理方法的不同，分为对照组（50例，采用护理）和观察组（50例，层级责任制护理）。对比两组患者临床急救时间、并发症发生率、护理满意度和生活质量。结果 观察组患者急救时间短于对照组，并发症发生率低于对照组，同时观察组护理满意度和生活质量明显高于对照组（P＜0.05）。结论 在对急诊多发伤患者进行急救时，采用层级责任制护理可取得更好的急救效果，可显著缩短急救时间，降低并发症发生率，提高患者生活质量。

Abstract

Objective To explore the impact of hierarchical responsibility nursing on emergency response time and complications in patients with multiple injuries in the emergency department.
Methods Select 100 emergency multiple injury patients admitted to our hospital from January 2024 to January 2025, and divide all patients into a control group (50 cases, using nursing) and an observation group (50 cases, using hierarchical responsibility nursing) according to different nursing methods. Compare the clinical emergency time, incidence of complications, nursing satisfaction, and quality of life between two groups of patients.
Results The emergency time of the observation group was shorter than that of the control group, and the incidence of complications was lower than that of the control group. At the same time, the nursing satisfaction and quality of life of the observation group were significantly higher than those of the control group (P<0.05).
Conclusion   When providing emergency care to patients with multiple injuries, adopting a hierarchical responsibility nursing system can achieve better emergency results, significantly shorten emergency time, reduce the incidence of complications, and improve patients' quality of life.