基于前控制的干预措施的应用,以预防创伤患者在医院前急诊环境中的低温症
Ting-Li Xu1, Yan-Lin Jiang2, Gui-Xiu Zhou3
1Department of Quality Control, Fuzhou Emergency Center Fuzhou 344000, Jiangxi, China.
American journal of translational research
|May 8, 2024
概括
一种新的前控制干预措施有效地预防创伤患者在紧急护理期间的低温. 这一策略改善了温度管理和患者的结果,展示了其在医院前环境中的价值.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 患者安全 患者安全
背景情况:
- 低温是创伤患者在医院前紧急护理期间面临的重大风险.
- 有效的温度管理对于改善患者的治疗结果至关重要.
研究的目的:
- 为了评估基于feedforward控制的干预策略在创伤患者中预防低温的有效性.
- 为了比较在干预实施之前和之后的医院前急救护理质量.
主要方法:
- 在福州急诊中心接受护理的80名创伤患者 (40名干预,40名控制) 的回顾性分析.
- 多变量分析以确定低温风险因素.
- 有效率,不良反应,温度管理质量,员工知识,凝血功能,治疗时间和预后得分的比较.
主要成果:
- 前期料对照组显示出更高的有效率 (92.50%与65.00%) 和较低的不良反应 (2.50%).
- 观察到温度管理质量得分的提高 (6.23±0.62),工作人员对低温预防的理解提高,凝血功能更好.
- 干预组表现出优越的治疗时间和更高的预后得分.
结论:
- 基于Feedforward控制的干预显著提高了医院前紧急护理标准.
- 这一策略有效地预防创伤患者低温的发生.
- 该模型提供了一种有价值的方法来改善创伤患者的重症护理.
相关概念视频
Decreased Body Temperature
612
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
612
Methods of reducing fever
661
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
661
Factors Affecting Body Temperature
4.1K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
4.1K
Thermoregulation
974
The human body has a sophisticated thermoregulation system that employs negative feedback mechanisms to maintain an optimal core temperature. When the core temperature drops, peripheral and central thermoreceptors send signals to the hypothalamus, activating the heat-promoting center. This center triggers several responses aimed at increasing the core temperature. First, vasoconstriction reduces the flow of warm blood from internal organs to the skin so that the heat is not lost from the skin,...
974
Increased Body Temperature
664
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
664
Body Temperature
941
The body's temperature, measured in degrees, is determined by the balance between heat production and dissipation to the surrounding environment. For instance, if exercising vigorously, the body will produce more heat, causing sweat and dissipating that heat. Despite extreme environmental conditions and physical exertion, the human temperature-control system maintains a constant core body temperature (the temperature of deep tissues, which are the tissues located beneath the skin and other...
941


