Application of hierarchical responsibility system-based comprehensive nursing in emergency patients
分层级责任制整体护理在急诊患者中的应用

摘要

目的 剖析急诊病人用分层级责任制整体护理的作用。方法 2024年12月-2025年5月本院急诊科实施常规护理工作期间收治的病人60名为对照组，2025年6月-11月本院急诊科开展分层级责任制整体护理工作期间收治的病人60名为试验组。对比抢救室滞留时间等指标。结果 关于护理质量：试验组的均值是（98.74±1.02）分，对照组的均值是（93.05±1.77）分，差异显著（P＜0.05）。分诊评估与抢救室滞留时间：试验组的均值是（2.02±0.63）min、（53.68±7.29）min，对照组的均值是（3.98±0.75）min、（76.83±9.28）min，差异显著（t1=3.0251，t2=6.8291，P＜0.05）。满意度：试验组96.67%，对照组83.33%，P＜0.05。结论 急诊病人用分层级责任制整体护理，其护理质量、急诊效率与满意度均得到显著改善。

Abstract

Objective To analyze the effect of hierarchical responsibility system-based comprehensive nursing on emergency patients.
Methods From December 2024 to May 2025, 60 patients admitted to the emergency department during the routine nursing period were assigned to the control group, and 60 patients admitted to the emergency department during the implementation of hierarchical responsibility system-based comprehensive nursing from June 2025 to November 2025 were assigned to the experimental group. The indicators such as the retention time in the emergency room were compared.
Results Regarding the quality of nursing: the mean score of the experimental group was (98.74 ± 1.02) points, and that of the control group was (93.05 ± 1.77) points, with a significant difference (P < 0.05). Triage assessment and retention time in the emergency room: the mean values of the experimental group were (2.02 ± 0.63) min and (53.68 ± 7.29) min, while those of the control group were (3.98 ± 0.75) min and (76.83 ± 9.28) min, with a significant difference (t1 = 3.0251, t2 = 6.8291, P < 0.05). Satisfaction: 96.67% in the experimental group and 83.33% in the control group, with P < 0.05.
Conclusion   For emergency patients, using hierarchical responsibility system-based comprehensive nursing, the quality of nursing, emergency efficiency and satisfaction have been significantly improved.