以患者为中心的应急救治管理策略在烧爆伤患者中的应用

doi:10.3761/j.issn.2096-7446.2022.01.010

Abstract

Abstract: According to the treatment characteristics of patients with severe burn and blast combined injuries caused by tanker truck explosions,we summarized nursing management experience in the treatment of public health emergency. Nursing management points included：establishing a nursing team with patient-centered and subspecialized nursing as basic unit,and a team leader as the core,namely "one patient,one team"; implementing a positive and negative two-way quality management model based on a three-level quality management system. Through the implementation of individualized and precise emergency treatment management strategy,the 30-day survival rate of patients reached 100%,and the 90-day survival rate reached 60.0%. There were no adverse effects during the period.

Key words: Burns, Chemical, Blast Injuries, Combined Injury, Intensive Care Units, Critical Care Nursing

ZENG Fei, LAN Meijuan, LIANG Jiangshuyuan, JIN Xiaojuan. The application of patient-centered emergency treatment management strategy in batches of patients with severe burn and blast combined injuries[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(1): 57-60.

References

[1] 张茂,韩春茂. 重视重大突发公共事件创烧伤的应急救治[J].中华急诊医学杂志,2020,29(8):1011-1013.
Zhang M,Han CM.Pay attention to the emergency treatment of wounds and burns in major public emergencies[J]. Chin J Emerg Med,2020,29(8):1011-1013.
[2] 梁微,吴丹,郭淼. 突发公共卫生事件护理应急预案体系的建立与完善探讨[J]. 中国地方病防治杂志,2019,34(5):548-549.
Liang W,Wu D,Guo M.The establishment and improvement of nursing emergency plan system for public health emergencies[J]. Chin J Control Endem Dis,2019,34(5):548-549.
[3] 姜英娟,隋新红. 双向质量反馈模式在妊娠高血压患者剖宫产康复中应用[J]. 中国计划生育学杂志,2018,26(9):845-848.
Jiang YJ,Sui XH.Application of bi-directional quality feedback pattern during recovery of puerpera with pregnancy induced hypertension after cesarean section[J]. Chin J Fam Plan,2018,26(9):845-848.
[4] Young AW,Dewey WS,King BT.Rehabilitation of burn injuries:an update[J]. Phys Med Rehabil Clin N Am,2019,30(1):111-132.
[5] 李豪,李育红,王海播,等. 俯卧位通气患者肠内营养的研究进展[J]. 中华急危重症护理杂志,2020,1(3):269-272.
Li H,Li YH,Wang HB,et al.Research progress of enteral nutrition in patients with prone position ventilation[J]. Chin J Emerg Crit Care Nurs,2020,1(3):269-272.
[6] 沈鸣雁,屈彩丹,陈华清. 特重度烧伤合并继发性血小板增多症患者的护理[J]. 中华护理杂志,2019,54(2):285-287.
Shen MY,Qu CD,Chen HQ.Nursing care of a case with severe burn complicated with secondary thrombocytosis[J]. Chin J Nurs,2019,54(2):285-287.
[7] 盛洁,王美青,吴爱萍,等. 基于ICU亚专科岗位管理模式的护理服务绩效评价[J]. 护理学杂志,2019,34(15):56-59.
Sheng J,Wang MQ,Wu AP,et al.Performance evaluation of nurses based on ICU sub-specialty post management model[J]. J Nurs Sci,2019,34(15):56-59.

[1]	GUO Miao, YANG Yanjun, QIAO Li, YANG Tingting, ZHANG Ping. Study on the impact of humanistic care nursing based on the peak-end rule on satisfaction of ICU patients and their families [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 773-779.
[2]	HUANG Jie, LAO Yuewen, CHEN Xiangping, ZHANG Yanfei, ZHANG Minyan, JIANG Mei, GONG Xiaoyan. Development and validation of a knowledge，attitude，and practice questionnaire on procedural pain management among ICU nurses [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 820-826.
[3]	YANG Li, XU Xiaobin, WANG Huafen. Application progress of functional near-infrared spectroscopy in critical care nursing [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 836-840.
[4]	ZHANG Yixiang, LÜ Wei, HE Cuili, LIU Liping, NONG Kang, XIE Fangna. Rapid identification and nursing for 109 patients with botulinum toxin type A injection-induced poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 846-848.
[5]	LIU Xiaoting, WANG Ping, XU Yihong, FAN Tingting, FU Zhenzhen, XIONG Zihan, HE Beilei, CHEN Xiaohui, ZHANG Xiaoming, SHU Yan. Nursing care for a patient with ultra-short bowel syndrome and multiple stomas after surgery for allied disorders of Hirschsprung’s disease [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 849-851.
[6]	SHAO Lihong, LI Chunyan, DONG Xiaoqi, WANG Qiaolin, YE Guofeng, ZHAO Qiaomei. Nursing care for multiple severe complications after free flap transplantation in a patient with oral multiple primary cancer [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 852-855.
[7]	PAN Chenxin, ZHANG Yan, LI Xihan, CHEN Jing. Summary of the best evidence for the application of the family participation model in the rehabilitation nursing of ICU patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 870-876.
[8]	ZHANG Ya, XU Yue, WANG Hao, ZHAO Lufeng, WANG Jing. Research progress and decision-making path integration of oral nursing for patients undergoing mechanical ventilation via orotracheal intubation in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 892-896.
[9]	ZHANG Hui, HE Xuehua, WANG Li, GONG Xiaoyan, ZHUANG Yiyu. Early warning and nursing intervention for primary graft dysfunction after heart transplantation using a marginal donor heart：a case report [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 682-684.
[10]	ZENG Fei. Nursing care of a patient with familial hypertrophic cardiomyopathy complicated with liver failure undergoing simultaneous heart-liver transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 685-688.
[11]	YANG Muying, FAN Wenqi, HU Han. Early identification and emergency nursing of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 704-706.
[12]	ZHUANG Jiani, LI Xiaozhen, SHI Chaoqiang, WANG Ying, TAN Liping. Perioperative nursing care for a patient with malignant mediastinal abscess secondary to deep neck infection [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 707-709.
[13]	LI Gaile, PAN Wenyan, LI Jingjing, LIU Xiao, TANG Yingjia, HOU Jin. Nursing care of a post-liver transplantation patient complicated with pneumocystis jirovecii and cytome-galovirus infection [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 710-713.
[14]	WANG Yan, LU Fangyan, LIU Yuan, WANG Fang. Postoperative care of children with progressive familial intrahepatic cholestasis undergoing parental liver transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 714-716.
[15]	LI Zunzhu, CHANG Xiaowei, CAO Qianqian, ZHAO Mingxi, LUO Hongbo, JING Jie, SUN Jianhua, LAN Yuanmei, WU Xinjuan. The construction and applicability analysis of a respiratory rehabilitation management program for the early postoperative period in patients undergoing cardiopulmonary bypass cardiac surgery [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 532-539.

The application of patient-centered emergency treatment management strategy in batches of patients with severe burn and blast combined injuries

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments