中国多发性重伤患者接受综合治疗模式的效果

IF 1.8 4区 医学 Q2 NURSING International Emergency Nursing Pub Date : 2024-03-02 DOI:10.1016/j.ienj.2024.101423
Shuai Zhang , Fang Liu , Xiang Li , Xingwen Zhang , Xiaotong Han
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引用次数: 0

摘要

本研究旨在提高中国严重多发伤患者综合治疗模式的有效性。这些患者根据所接受的治疗模式被分为两组。第一组被称为 MDTM 组,他们接受的是综合治疗模式,其中包括以多学科团队为基础的方法。第二组称为 TSM 组,接受传统的专家治疗模式。主要结果指标是患者治疗后的存活率。结果 MDTM 组患者治疗后的存活率(83.93%)明显高于 TSM 组(70.37%)。因此,MDTM 组患者治疗后的死亡率(16.07%)明显低于 TSM 组(29.63%)。此外,MDTM 组的抢救时间和住院时间也明显缩短。此外,MDTM 组的家属满意度明显更高。该模式在中国具有实用性,并有助于缓解紧张的医患关系。
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Effect of access to the integrated treatment model for patients with multiple severe injuries in the Chinese population

Aims

The aim of this study was to enhance the effectiveness of an integrated treatment model for patients with severe multiple injuries in China.

Methods

In this study, we conducted a retrospective analysis of data from 110 patients with multiple severe injuries. These patients were divided into two groups based on the treatment model they received. The first group, called the MDTM group, received the integrated treatment model, which involved a multidisciplinary team-based approach. The second group, designated the TSM group, received the traditional specialist-based treatment model. The primary outcome measure was the survival rate of patients after treatment. Secondary outcomes included the time spent on hospital emergency treatment, the length of hospital stay, the mortality rate, and family satisfaction.

Results

The survival rate of patients after treatment in the MDTM group (83.93%) was significantly greater than that in the TSM group (70.37%). Consequently, the mortality of patients after treatment in the MDTM group (16.07%) was significantly lower than that in the TSM group (29.63%). Furthermore, the MDTM group demonstrated significantly shorter durations of rescue efforts and shorter hospital stays. Additionally, family satisfaction was significantly greater in the MDTM group.

Conclusion

The integrated treatment model shows potential for optimizing outcomes for patients with multiple severe injuries and generating higher levels of family satisfaction. This model holds practical applicability in the context of China and may help alleviate the strained relationship between physicians and patients.

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来源期刊
CiteScore
3.20
自引率
11.10%
发文量
85
期刊介绍: International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.
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