国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
8期
1001-1004
,共4页
急诊%联合转运%内科危重症%安全性
急診%聯閤轉運%內科危重癥%安全性
급진%연합전운%내과위중증%안전성
Emergency%Association transportation%Critical internal medicine diseases%Safety
目的 探讨急诊科护士联合病房专科护士对内科危重症患者转运安全性的影响.方法 入选2008年7月-2009年12月我院急诊科接诊的103例内科危重症患者,其中男78例,女25例,年龄41～88(60.61±10.18)岁,将患者随机分为两组:急诊科护士联合病房专科护士转运组(52例)及急诊护士单独转运组(51例).联合转运方法内科住院部专科护士到急诊科与急诊医护人员一同完成患者院前评估、处理及转运前准备,并联合转运至病房;观测两组患者就诊至转运至病房的时间及严重事件(心跳呼吸骤停、阿斯综合征、急性左心衰竭、原有症状明显加重)的发生率.结果 联合转运组及单独转运组的转运时间分别为(23.76±5.88)分钟及(20.50±5.92)分钟,两组间比较,差异无显著性(P＞0.05);联合转运组及单独转运组转运过程中严重事件的发生率分别为1.9%及7.8%,与单独转运组比较,联合转运组转运过程中严重事件发生率明显降低,两组间比较,差异有显著性(P＜0.05).结论 与单独转运组比较,联合转运组能明显提高内科危重症患者院内转运到安全性,且并不明显延误诊治时间.
目的 探討急診科護士聯閤病房專科護士對內科危重癥患者轉運安全性的影響.方法 入選2008年7月-2009年12月我院急診科接診的103例內科危重癥患者,其中男78例,女25例,年齡41～88(60.61±10.18)歲,將患者隨機分為兩組:急診科護士聯閤病房專科護士轉運組(52例)及急診護士單獨轉運組(51例).聯閤轉運方法內科住院部專科護士到急診科與急診醫護人員一同完成患者院前評估、處理及轉運前準備,併聯閤轉運至病房;觀測兩組患者就診至轉運至病房的時間及嚴重事件(心跳呼吸驟停、阿斯綜閤徵、急性左心衰竭、原有癥狀明顯加重)的髮生率.結果 聯閤轉運組及單獨轉運組的轉運時間分彆為(23.76±5.88)分鐘及(20.50±5.92)分鐘,兩組間比較,差異無顯著性(P＞0.05);聯閤轉運組及單獨轉運組轉運過程中嚴重事件的髮生率分彆為1.9%及7.8%,與單獨轉運組比較,聯閤轉運組轉運過程中嚴重事件髮生率明顯降低,兩組間比較,差異有顯著性(P＜0.05).結論 與單獨轉運組比較,聯閤轉運組能明顯提高內科危重癥患者院內轉運到安全性,且併不明顯延誤診治時間.
목적 탐토급진과호사연합병방전과호사대내과위중증환자전운안전성적영향.방법 입선2008년7월-2009년12월아원급진과접진적103례내과위중증환자,기중남78례,녀25례,년령41～88(60.61±10.18)세,장환자수궤분위량조:급진과호사연합병방전과호사전운조(52례)급급진호사단독전운조(51례).연합전운방법내과주원부전과호사도급진과여급진의호인원일동완성환자원전평고、처리급전운전준비,병연합전운지병방;관측량조환자취진지전운지병방적시간급엄중사건(심도호흡취정、아사종합정、급성좌심쇠갈、원유증상명현가중)적발생솔.결과 연합전운조급단독전운조적전운시간분별위(23.76±5.88)분종급(20.50±5.92)분종,량조간비교,차이무현저성(P＞0.05);연합전운조급단독전운조전운과정중엄중사건적발생솔분별위1.9%급7.8%,여단독전운조비교,연합전운조전운과정중엄중사건발생솔명현강저,량조간비교,차이유현저성(P＜0.05).결론 여단독전운조비교,연합전운조능명현제고내과위중증환자원내전운도안전성,차병불명현연오진치시간.
Objective To investigate Effect of the safety of the patients with critical diseases who were transported by the nurses of emergency department and the special nurses. Methods 103patients with critical diseases of emergency department were recruited for this study. The subjects were divided into two groups: association transportation group(52) and transported by the nurses of emergency department only group(51). The patients in association transportation group were evaluated and prepared before transportation and transported by nurses of emergency department and in-patient department. The transportation time and serious events rates during transportation were examined in both groups. Results The transportation time of assoeiation transportation group and solo transportation group were (23.76 ±5.88) and (2050 ± 5.92)minutes respectively. The serious events rates during transportation of association transportation group and solo transportation group were 1.9% and 7.8% respectively. There were significant differences among the serious events rates but not among the transportation time between two groups. Conclusions The serious events rate during transportation were significantly decreased in association transportation group as compare with solo transportation group; what's more, it dosn't delay the time of diagnosis and treatment.
