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目的:探讨损伤控制理论在基层医院骨科护理中的应用效果,为其应用提供依据。方法:选取2013~2015年在医院骨科接受治疗的80例多发伤患者为研究对象,随机分为对照组和观察组,每组各40例。对照组患者实施常规护理方案,观察组在DOC理论指导下实施有效护理措施,比较两组患者的抢救效率。结果:在DOC理论指导下实施有效的护理措施后,观察组与护送人员交接时间、术前准备时间和基本生命支持时间与对照组相比,均有显著降低(P<0.05);患者的致残率、ARDS、MOF发生率及死亡率相比,观察组较对照组均有明显降低(P<0.05)。结论:DOC理论指导下的护理方案,能够有效提高患者抢救效率并改善预后,提高了护理人员的工作效率和护理质量。
Objective: To explore the application of damage control theory in orthopedic nursing in primary hospitals, and to provide basis for its application. Methods: Eighty patients with multiple traumatic injuries treated in the orthopedic hospital from 2013 to 2015 were selected as study subjects and randomly divided into control group and observation group, 40 cases in each group. Patients in the control group underwent routine nursing programs. The observation group under the guidance of DOC theory implemented effective nursing measures and compared the rescue efficiency of the two groups. Results: After the implementation of effective nursing intervention under the guidance of DOC theory, the time of handing over, the preoperative preparation time and the basic life support time of the observation group and the escort staff were significantly lower than those of the control group (P <0.05) (P <0.05). Compared with the control group, the observation group was significantly lower than the control group (P <0.05). Conclusion: The nursing plan under the guidance of DOC theory can effectively improve the salvage efficiency and prognosis of patients, and improve the work efficiency and quality of nursing staff.