Abstract：Objective To explore the effect of chain one-stop emergency care in pre-hospital emergency care. Methods From March 2018 to March 2020, 80 patients admitted to Lu’an People’s Hospital for pre-hospital emergency treatment were selected as research object, and they were divided into observation group and control group, according to the random number table method, with 40 cases in each group. Control group was given traditional emergency care measures, and observation group was given chain one-stop emergency care measures. The rescue success rate of two groups were compared; the required first aid time of two groups, including equipment preparation time, initial condition evaluation time, vital sign judgment time and basic life support rescue time were recorded and compared; the satisfaction of the family members of two groups to rescue care work was investigated by questionnaire. Results The rescue success rate of observation group was higher than that of control group, and the difference was statistically significant (P < 0.05). The equipment preparation time, initial condition evaluation time, vital sign judgment time and basic life support rescue time of observation group were shorter than those of control group, and the differences were statistically significant (P < 0.05). The satisfaction of family members in observation group was higher than that in control group (P < 0.05). Conclusion The chain one-stop emergency care model has outstanding effects in pre-hospital emergency care, which is conducive to shortening the first aid time, improving the success rate of rescue, improving the satisfaction of patients’ family members and worthy of clinical promotion and application.
[1] 欧阳洁淼，吕传柱，杨明施，等.海南省院前急救现状调查及对策分析[J].中华急诊医学杂志，2020，29（2）：294-297.
[2] 周文丽.改良早期预警评分系统在院前急救中的应用[J].护理研究，2020，34（10）：1851-1853.
[3] Higashi H，Takaku R，Yamaoka A，et al. The Dedicated Emergency Physician Model of emergency care is associated with reduced pre-hospital transportation time：A retrospective study with a nationwide database in Japan [J]. PLoS One，2019，14（4）：e0215231.
[4] 余艮珍，李玲，李艳伟.标准化急救护理流程在规范儿科急诊护士急救护理行为中的应用[J].中国护理管理，2018， 18（9）：1226-1230.
[5] 江腊梅，黄春梅，张露.一体化链式创伤急救护理模式对急性重创患者救治效果及满意度的影响[J].河北医药，2019，41（23）：3667-3669.
[6] Lowthian JA，Arendts G，Strivens E. Australian recommendations for the integration of emergency care for older people：Consensus Statement [J]. Australas J Ageing，2018， 37（3）：224-226.
[7] 张建波，何忠杰.初步迅速判断病情——链式流程复苏第一步[J].第四军医大学学报，2005（S1）：37-39.
[8] 王馨，高嵩芹，于龙娟，等.“一站式”护理救治模式提升缺血性脑卒中患者救护质量的效果[J].解放军护理杂志，2015，32（20）：57-59，63.
[9] 戚雯雯，景峰，许敬华，等.优质护理服务在急诊科的实施与效果[J].解放军护理杂志，2018，35（18）：69-71.
[10] Tourtier JP，Jost D，Boutinaud P，et al. Countering a multi-faceted terrorist wave through an integrated emergency-care system [J]. Injury，2016，47（3）：785-786.
[11] Hood N，Considine J. Spinal immobilisaton in pre-hospital and emergency care：A systematic review of the literature [J]. Australas Emerg Nurs J，2015，18（3）：118-137.
[12] Esteves C，Neves C，Sá JJ，et al. Severe hypoglycaemia in diabetic patients in Pre-hospital and Emergency Department care：a cross-sectional survey [J]. BMC Res Notes，2018，11（1）：249.
[13] 钱菁菁，毛欢欢.急救链式护理管理在急诊科的应用[J].中医药管理杂志，2019，27（15）：63-64.
[14] Butler MW，Adefuye AO. Assessing the knowledge of emergency medical care personnel in the Free State，South Africa，on aspects of paediatric pre-hospital emergency care [J]. Pan Afr Med J，2019，32（1）：98.
[15] 赵超炜.优化急诊护理流程对脑动脉瘤患者抢救效果的影响研究[J].中华肿瘤防治杂志，2018，25（S2）：148-149.
[16] 孟玉芝，周俊山，张颖冬.专职化层级护理模式应用于急诊脑梗死病人对抢救效果及护理质量的影响[J].护理研究，2018，32（22）：3570-3574.
[17] Kietzmann D，Knuth D，Schmidt S.（Non-）utilization of pre-hospital emergency care by migrants and non-migrants in Germany [J]. Int J Public Health，2017，62（1）：95-102.
[18] Mothibi JD，Jama M，Adefuye AO. Assessing the knowledge of emergency medical care practitioners in the Free State，South Africa，on aspects of pre-hospital management of psychiatric emergencies [J]. Pan Afr Med J，2019， 33（1）：132.
[19] 杨珍，张宝珍，上官美琴，等.结构化沟通模式在急诊抢救室护理人员交接班中的应用及效果评价[J].护理研究，2018，32（11）：1770-1773.
[20] 蔡爱敏，朱燕.一体化急救护理新模式在严重创伤患者救治中的应用[J].中国全科医学，2009，12（20）：1885-1886.
[21] Choi BY，Blumberg C，Williams K. Mobile Integrated Health Care and Community Paramedicine：An Emerging Emergency Medical Services Concept [J]. Ann Emerg Med，2016，67（3）：361-366.
[22] 胡杏燕，陈华英.优化创伤链式抢救在急救护理中的运用及对抢救有效性的影响[J].中国医药科学，2020，10（2）：161-163.
[23] Macano CAW，Kirby GC，Lake B，et al. Surgical assessment clinic-One stop emergency out-patient clinic for rapid assessment，reduced admissions and improved acute surgical service：A quality improvement study [J]. Ann Med Surg （Lond），2017，23（2）：28-31.
[24] 邓红梅，陈文静，潘菊芳.院前急救护理干预对急性心肌梗死患者抢救时间及死亡率的影响[J].黑龙江中医药，2019，48（6）：269-270.
[25] 李坚玲，孔建宜.院前急救护理路径对老年急性脑卒中患者治疗有效率、病死率与伤残率的影响[J].中国医药科学，2020，10（8）：160-162.
[26] Bornais JAK，Crawley J，El-Masri MM. One Stop：Examining the Reasons Patients Use the Emergency Department for Nonurgent Care and the Barriers They Face [J]. J Emerg Nurs，2020，46（2）：163-170.
2021, Vol. 18 
京公网安备 11010502046598号