中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
11期
1306-1308
,共3页
甘美连%李芸%李威%许士海
甘美連%李蕓%李威%許士海
감미련%리예%리위%허사해
危重症小组%呼吸道护理%质量管理
危重癥小組%呼吸道護理%質量管理
위중증소조%호흡도호리%질량관리
Critical cases specialist groups%Respiratory nursing%Nursing management
目的 探讨危重症专科小组运作方式在提高呼吸道护理质量中的应用和效果.方法 将106例行气管插管患者实施专科小组运作后57例为实验组,实施专科小组运作前49例为对照组.实验组建立危重症专科小组定期组织查房、会诊指导、制定工作指引及护理质量标准和评价指标,对危重症患者的护理质量进行三级全程监控;对照组采取常规的护士长查房指导,护理部督导检查二级监控.以呼吸机相关肺炎及呼吸道护理意外发生率作为危重症患者护理质量观察指标之一.结果 实验组呼吸机相关肺炎及呼吸道护理意外发生率比对照组明显降低,差异有统计学意义(7.70%vs 20.04%,χ2=4.51,P＜0.05;10.52%vs 26.53%,χ2=5.69,P＜0.05);每月护士解决的护理问题及护理投诉均比对照组多,差异均有统计学意义(P＜0.05);医生及患者对护理工作的满意度也比对照组提高了(P＜0.05).结论 危重症专科小组运作方式有利于加强护士的危重症专业能力,规范临床危重症呼吸道护理管理,提高呼吸道的护理质量.
目的 探討危重癥專科小組運作方式在提高呼吸道護理質量中的應用和效果.方法 將106例行氣管插管患者實施專科小組運作後57例為實驗組,實施專科小組運作前49例為對照組.實驗組建立危重癥專科小組定期組織查房、會診指導、製定工作指引及護理質量標準和評價指標,對危重癥患者的護理質量進行三級全程鑑控;對照組採取常規的護士長查房指導,護理部督導檢查二級鑑控.以呼吸機相關肺炎及呼吸道護理意外髮生率作為危重癥患者護理質量觀察指標之一.結果 實驗組呼吸機相關肺炎及呼吸道護理意外髮生率比對照組明顯降低,差異有統計學意義(7.70%vs 20.04%,χ2=4.51,P＜0.05;10.52%vs 26.53%,χ2=5.69,P＜0.05);每月護士解決的護理問題及護理投訴均比對照組多,差異均有統計學意義(P＜0.05);醫生及患者對護理工作的滿意度也比對照組提高瞭(P＜0.05).結論 危重癥專科小組運作方式有利于加彊護士的危重癥專業能力,規範臨床危重癥呼吸道護理管理,提高呼吸道的護理質量.
목적 탐토위중증전과소조운작방식재제고호흡도호리질량중적응용화효과.방법 장106례행기관삽관환자실시전과소조운작후57례위실험조,실시전과소조운작전49례위대조조.실험조건립위중증전과소조정기조직사방、회진지도、제정공작지인급호리질량표준화평개지표,대위중증환자적호리질량진행삼급전정감공;대조조채취상규적호사장사방지도,호리부독도검사이급감공.이호흡궤상관폐염급호흡도호리의외발생솔작위위중증환자호리질량관찰지표지일.결과 실험조호흡궤상관폐염급호흡도호리의외발생솔비대조조명현강저,차이유통계학의의(7.70%vs 20.04%,χ2=4.51,P＜0.05;10.52%vs 26.53%,χ2=5.69,P＜0.05);매월호사해결적호리문제급호리투소균비대조조다,차이균유통계학의의(P＜0.05);의생급환자대호리공작적만의도야비대조조제고료(P＜0.05).결론 위중증전과소조운작방식유리우가강호사적위중증전업능력,규범림상위중증호흡도호리관리,제고호흡도적호리질량.
Objective To investigate the role and effect of critical cases specialist group' s operation mode on the nursing quality of respiratory tract. Methods Totally 106 tracheal intubation patients were selected for experiments. 57 cases that use specialist group's operation mode are in experimental group;and others are in control group, which don' t use specialist group' s operation mode. For experimental group, critical cases specialist group was established to organize regular patient rounds, instruct consultations, formulate work direction and nursing quality standards and evaluation indexes;the critical cases of patients with nursing quality were evaluated with three-tier process monitoring;while control group were treated with traditional head nurse rounds guidance, nurses supervision inspection second-level monitoring. This research chose the accident rate of ventilator-associated pneumonia and respiratory care to be one index of the nursing quality for critical cases.Results Ventilator related pneumonia (VAP) and take off tube incidence reduced significantly, the differences were statistically significant (7. 70% vs 20.04%, χ2 = 4. 51, P ＜ 0. 05;10. 52% vs 26.53 %, χ2 = 5.69, P ＜0. 05). The nursing problems and nursing complaints solved by nurses were more than the control group(P ＜0. 05);Doctors' and patients' satisfaction with nursing care were also improved (P ＜0. 05). Conclusions Critical cases specialist group' s operation mode can improve the professional skill of nurses for critical cases;formulate nursing management of clinical critical cases respiratory nursing;improve the nursing quality of respiratory tract.
