Evaluation of the role of nursing emergency plan combined with emergency procedures for patients with severe multiple traumatic fractures in the emergency department
护理应急预案结合急救流程对急诊严重多发创伤性骨折患者的作用评估

摘要

目的 探讨护理应急预案结合急救流程对急诊严重多发创伤性骨折患者的作用。方法 研究选择2025年3月-2026年3月期间收治的急诊严重多发创伤性骨折患者66例作为研究对象，采用随机数字表法将患者分组，本次研究分为两组，一组为对照组，采用常规急诊护理流程，共计33例患者；另一组为观察组，采取护理应急预案结合急救流程措施，以此比较两组患者各项时间指标、创伤并发症发生率、72小时生存率、住院病死率及护理满意度。结果 观察组的建立静脉通路的时间、气道管理完成时间、首次镇痛给药时间、手术开始时间均短于对照组（P＜0.05）；观察组的创伤并发症发生率低于对照组（P＜0.05）；观察组患者的护理满意度明显高于对照组（P＜0.05）。结论 护理应急预案结合急救流程对急诊严重多发创伤性骨折患者的作用显著，能够有效缩短各个环节所需时间，降低患者的创伤并发症发生率，促使患者更加认同该护理模式，提升护理满意度，值得临床推广应用。

Abstract

Objective To explore the effect of combining nursing emergency plans with emergency procedures on patients with severe multiple traumatic fractures in the emergency department.
Methods A total of 66 patients with severe multiple traumatic fractures admitted to the emergency department between March 2025 and March 2026 were selected as the study subjects. The patients were randomly divided into two groups using a random number table method. The first group was the control group, and conventional emergency nursing procedures were used, with a total of 33 patients; The other group is the observation group, which adopts nursing emergency plans combined with first aid procedures to compare various time indicators, incidence of trauma complications, 72 hour survival rate, in-hospital mortality rate, and nursing satisfaction between the two groups of patients.
Results The establishment time of venous access, completion time of airway management, first analgesic administration time, and start time of surgery in the observation group were all shorter than those in the control group (P<0.05); The incidence of traumatic complications in the observation group was lower than that in the control group (P<0.05); The nursing satisfaction of the observation group patients was significantly higher than that of the control group (P<0.05).
Conclusion   The combination of nursing emergency plans and emergency procedures has a significant effect on patients with severe multiple traumatic fractures in the emergency department. It can effectively shorten the time required for each link, reduce the incidence of trauma complications in patients, promote patients’ recognition of this nursing model, improve nursing satisfaction, and is worthy of clinical promotion and application.