CAJ | 학술논문

自2008年1月起,本课题组将每日诊疗目标表格用于外科重症监护室(SICU)中每例病人的不同治疗性干预.首先评估住院医生和护士对病人情况的知晓度2周,第1周未应用该表格,第2周应用该表格.每天随机选2例病人,向主管住院医生和护士询问病情.评估标准:完全知晓为5分;大部分知晓为4分;部分知晓为3分;了解一点为2分;不知晓为1分,其中5分和4分判定为对病人病情知晓.应用表格前,住院医生和护士对病人诊疗知晓度评分分别为(3.21±0.71)分和(2.29±0.49)分,应用表格后,评分分别为(4.79±0.27)分和(4.07±0.61)分,应用表格后住院医生和护士对病人诊疗知晓度评分明显高于应用表格前(P＜0.05).2008年病人SICU住院时间短于2007年(P＜0.05).提示每日诊疗目标表格是科学管理SICU的措施之一,对医护人员达成有效的共识和改善病人的预后具有积极地作用.
자2008년1월기,본과제조장매일진료목표표격용우외과중증감호실(SICU)중매례병인적불동치료성간예.수선평고주원의생화호사대병인정황적지효도2주,제1주미응용해표격,제2주응용해표격.매천수궤선2례병인,향주관주원의생화호사순문병정.평고표준:완전지효위5분;대부분지효위4분;부분지효위3분;료해일점위2분;불지효위1분,기중5분화4분판정위대병인병정지효.응용표격전,주원의생화호사대병인진료지효도평분분별위(3.21±0.71)분화(2.29±0.49)분,응용표격후,평분분별위(4.79±0.27)분화(4.07±0.61)분,응용표격후주원의생화호사대병인진료지효도평분명현고우응용표격전(P＜0.05).2008년병인SICU주원시간단우2007년(P＜0.05).제시매일진료목표표격시과학관리SICU적조시지일,대의호인원체성유효적공식화개선병인적예후구유적겁지작용.
Since January 2008 we have been using a list of daily targets for different therapeutic interventions in each patient in surgical intensive care unit(SICU).The degree of understanding of patient's condition by residents and nurses was evaluated and scored(5 = fully understand,1 = no understanding).The scores obtained before and after the application of the list were compared.The length of patient's stay in SICU in2008 and 2007 was also compared.The use of the llst significantly improved the understanding of patient' s condition by residents and nurses--3.21±0.71(residents)and 2.29 ± 0.49(nurses)before the application of the list;4.79±0.27(residents)and 4.07±0.61(nurses)after the application of the list.Implementing the list of daily targets results in a significant improvement in the effectiveness of communication of the medical staff and a reduction in the length of patient's stay in SICU.