目的 总结异地应急救援管理方案在成批八氟环丁烷气体中毒患者中的实践经验,为护理管理者科学应对异地突发公共事件提供参考。方法 基于平战结合理念构建异地应急救援护理管理策略：救援前未雨绸缪、统筹规划,救援时快速响应、高效救治,救援后总结反馈、优化提升3个步骤实施应急管理工作,持续监控护理质量与患者安全。结果 在成批八氟环丁烷气体中毒事件中运用异地应急救援管理策略共收治76例患者,经过30 d的多部门高效协同救治,75例患者治愈出院,1例进入康复阶段。结论 异地应急救援管理策略可有效应对突发公共卫生事件,能高效、有序地保证救治工作的顺利开展。
Objective To summarize the practical experience of allopatry emergency rescue management scheme in a batch of patients with octafluorocyclobutane gas poisoning,and to provide reference for nursing managers to deal with public emergencies scientifically. Methods Emergency rescue nursing management plan was constructed based on the concept of combining peacetime and wartime,which included three steps：taking precautions before emergency rescue and overall planning; rapid response and efficient treatment during emergency rescue; summarizing and feedback,optimizing and improving after emergency rescue. After implementation of rescue management,we continuously monitored nursing quality and patient safety. Results The allopatry emergency rescue management scheme was applied in treatment of 76 patients with octafluorocyclobutane gas poisoning. After 30 days of treatment with efficient cooperation of multiple departments,75 patients were cured and discharged,and 1 case entered the rehabilitation stage. Conclusion The allopatry emergency rescue management can effectively deal with the emer-gency treatment of public health emergencies in different places,and can ensure the smooth implementation of rescue.
[1] 王海鑫,康正,吴群红,等. 基于重大突发公共卫生事件应对的医院医疗浪涌能力建设研究[J]. 中国医院管理,2021,41(3):30-34.
Wang HX,Kang Z,Wu QH,et al.Research on hospital medical surge capacity construction based on major public health emergencies[J]. Chin Hosp Manag,2021,41(3):30-34.
[2] 吴国安,王敏,魏丽荣. 重大疫情期间医疗救治定点医院平战结合的管理[J]. 首都公共卫生,2021,15(4):237-239.
Wu GA,Wang M,Wei LR.Management of combination of peacetime and wartime of designated hospitals for medical treatment during major epidemics[J]. Cap J Public Heal,2021,15(4):237-239.
[3] 张浩,黄华璠,徐海云,等. 八氟环丁烷的制备与纯化[J]. 当代化工,2019,48(1):98-101.
Zhang H,Huang HF,Xu HY,et al.Preparation and purification of octafluorocyclobutane[J]. Contemp Chem Ind,2019,48(1):98-101.
[4] 唐红玉,王吉平,李珂. 成批化学伤病人院内急救模式相关研究的内容分析[J]. 护理研究,2019,33(4):623-628.
Tang HY,Wang JP,Li K.Content analysis of related research on in-hospital first aid mode of mass chemical casualties[J]. Chin Nurs Res,2019,33(4):623-628.
[5] 陈巧玲,陈美榕,郑艳,等. 整建制管理模式在新型冠状病毒肺炎病房护理管理中的应用效果分析[J]. 中华护理杂志,2020, 55(S1):241-243.
Chen QL,Chen MR,Zheng Y,et al.Analysis of application effect of the reorganization system management mode in nursing management of coronavirus disease 2019 isolation ward[J]. Chin J Nurs,2020,55(S1):241-243.
[6] 冯苹,张伟英,张玲,等. 十例昆山粉尘爆炸事故患者的应急救护经验[J]. 中华烧伤杂志,2017,33(1):56-57.
Feng P,Zhang WY,Zhang L,et al.Emergency rescue experience of ten dust explosion cases in Kunshan[J]. Chin J Burn,2017,33(1):56-57.
[7] 聂婷瑶,李菁,罗艳,等. 异地救援护士生命意义感与抗逆力的相关性研究[J]. 解放军护理杂志,2021,38(8):24-26.
Nie TY,Li J,Luo Y,et al.Correlation between sense of life significance and stress resistance of nurses on rescue missions in other places[J]. Nurs J Chin PLA,2021, 38(8):24-26.
[8] 何双双,李文进. 5G技术与“互联网+医疗”助力医院管理的运行效果[J]. 解放军医院管理杂志,2021,28(4):323-325.
He SS,Li WJ.Evaluation on the application of 5G technology and “Internet+Medical care” in promoting hospital management[J]. Hosp Adm J Chin PLA,2021,28(4):323-325.
[9] 白雪,姜博文,方鹏骞. 基于“十四五”规划的我国公立医院平战结合实现路径探讨[J]. 中国医院管理,2021,41(3):11-14.
Bai X,Jiang BW,Fang PQ.Discussion on realization approaches of the combination of peacetime and wartime in China's public hospitals based on 14th five-year plan[J]. Chin Hosp Manag,2021,41(3):11-14.
[10] 刘义兰,黄恺,熊莉娟,等. 综合医院应对突发重大传染病疫情的应急护理管理[J]. 中华护理杂志,2020,55(7):1006-1010.
Liu YL,Huang K,Xiong LJ,et al.Emergency nursing management of general hospitals in response to the outbreak of major infectious diseases[J]. Chin J Nurs,2020,55(7):1006-1010.
