Application of integrated management model of health care in early treatment of severe trauma patients

doi:10.3969/j.issn.1009-6493.2017.30.014

Abstract：Objective:To explore the application of integrated management model of medical care in the early treatment of severe trauma patients.Methods:A total of 132 cases of severe trauma patients admitting in 2014 were selected as control group,and receiving routine clinical ambulance program.Another 138 cases of severe trauma patients admitting in 2015 were selected as observation group,and the integrated management model of health care was used for early treatment,then tocomparetheinitial rescue time,rescue success rate,occurrence of complication,length of hospital stay and satisfaction with care between both groups.Results:The initial rescue time(44.28 min±6.34 min),length of hospital stay(19.88 d±5.32 d),and the incidence of complications (29.71％) of patients in observation group were lower than those in control group(56.87 min±6.98 min)(30.82 d±6.62 d)(51.52％).The success rate of rescue(91.30％) in observation group was higher than that in control group(80.30 ％).There were statistically significant difference between both groups(P＜0.05).The scores of patients' admissions,information communication and rescue environment were higher in observation group than those in control group (P＜0.05).Conclusions:The integrated management model of medical care could effec tively shorten the early rescue time and hospitalization time of patients with severe trauma,reduce the incidence of complications,improve the rescue ability of patients with severe trauma and the satisfaction of family mem bers to medical care and nursing services.