急诊群体伤患者信息化护理管理方案的构建及初步应用

doi:10.3761/j.issn.0254-1769.2025.24.005

摘要/Abstract

摘要：

目的构建急诊群体伤患者信息化护理管理方案并进行初步应用，为临床护理实践提供参考。方法系统检索国内外相关文献，经质量评价、证据整合、研究小组讨论后形成方案初稿，并通过专家会议法确定急诊群体伤患者信息化护理管理方案终稿。采用便利抽样法，选取2025年7—9月湖南省某三级甲等医院的14例群体伤患者作为试验组，按所构建方案进行干预，将2024年6—12月的14例群体伤患者作为对照组，按常规群体伤救治应急预案进行干预。比较两组应急响应时间、急诊滞留时间、分诊处置时间差异，通过问卷对急诊科护士进行调查，评价该方案的临床适用性、意义、可行性和满意度。结果干预后，试验组在应急响应时间、急诊滞留时间、分诊处置时间指标上的比较均优于对照组，差异具有统计学意义（P<0.001），护士对方案的临床适用性评分为（4.20±0.10）分，临床意义为（4.61±0.11）分，满意度为（4.49±0.10）分。结论该研究所构建的急诊群体伤患者信息化护理管理方案具有科学的循证依据、较强的针对性和可行性，可为推动急诊群体伤患者管理的标准化与信息化提供参考。

关键词: 急救医疗服务, 伤亡事件, 大规模, 信息化, 护理管理研究

Abstract:

Objective This study aims to develop and pilot an information-based nursing management protocol for mass casualty patients and conduct preliminary application，so as to provide a reference for clinical nursing practice. Methods A systematic search of relevant domestic and international literature was conducted. Following quality assessment，evidence synthesis，and research group discussions，a draft protocol was developed. The final version of the information-based nursing management protocol for emergency mass casualty patients was established via an expert meeting. Using convenience sampling，14 mass casualty patients admitted to a tertiary A hospital in Hunan Province from July to September 2025 were selected as an experimental group and received the intervention according to the developed protocol. Another 14 mass casualty patients from June to December 2024 were assigned as a control group and received conventional care. Differences between the 2 groups in emergency response time，emergency department length of stay，and triage processing time were compared. Nurses in the emergency department were surveyed via questionnaire to evaluate the protocol’s clinical significance，applicability，and feasibility. Results After the intervention，the experimental group showed significantly better outcomes than the control group in emergency response time，emergency department length of stay，and triage processing time，with statistically significant differences（P<0.001）. The nurses’ scores of clinical applicability, clinical significance and satisfaction were（4.20±0.10）（4.61±0.11） and（4.49±0.10） respectively. Conclusion The information-based nursing management protocol for emergency mass casualty patients developed in this study is grounded in scientific evidence，and demonstrates strong targeted relevance and feasibility. It provides a reference for promoting standardization and informatization in the management of emergency mass casualty patients.

Key words: Emergency Medical Services, Casualty Incidents, Mass, Informatization, Nursing Administration Research

熊伟剑, 赵婷, 文颀, 王红红, 赵丽群, 郭美英. 急诊群体伤患者信息化护理管理方案的构建及初步应用[J]. 中华护理杂志, 2025, 60(24): 2979-2985.

XIONG Weijian, ZHAO Ting, WEN Qi, WANG Honghong, ZHAO Liqun, GUO Meiying. Construction and preliminary application of an information-based nursing management protocol for mass casualty patients in the emergency care[J]. Chinese Journal of Nursing, 2025, 60(24): 2979-2985.

图/表 3

表1 急诊群体伤患者信息化护理管理方案

Table 1 Information-based nursing management protocol for mass casualty patients in the emergency care

表2 两组群体伤患者一般资料的比较

Table 2 Comparison of general data between 2 groups

表3 两组应急响应时间、急诊滞留时间、分诊处置时间的比较（min，$\bar{x}±s$）

Table 3 Comparison of emergency response time， emergency department length of stay， and triage processing time between 2 groups（min，$\bar{x}±s$）

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