CAJ | 학술논문

　　目的?对急诊危重患者院内转运的潜在风险及防范措施进行探讨。方法?分析我院急诊科2011年3月至2011年6月院内转运的108例危重患者的临床资料并设为对照组，该组采用常规的转运护理，2012年3月1日至2012年6月1日转运的120例急诊危重患者设为观察组，该组实施安全转运护理，比较两组患者在院内转运过程中发生意外的情况及不满意程度。结果?通过分析比较，观察组的意外发生率显著低于对照组（P＜0.05），转运过程中的不满意程度观察组明显高于对照组（P＜0.01），差异均有统计学意义。结论?在转运前对危重患者进行全面的评估风险及利益，在转运过程中实时进行监护及观察，到达相关科室对患者的初步诊断及相关情况进行详细的交接及记录，包括医师之间和护士之间的交接。在转运过程中进行安全的护理对危重患者的预后及减少并发症的发生是关键。
　　목적?대급진위중환자원내전운적잠재풍험급방범조시진행탐토。방법?분석아원급진과2011년3월지2011년6월원내전운적108례위중환자적림상자료병설위대조조，해조채용상규적전운호리，2012년3월1일지2012년6월1일전운적120례급진위중환자설위관찰조，해조실시안전전운호리，비교량조환자재원내전운과정중발생의외적정황급불만의정도。결과?통과분석비교，관찰조적의외발생솔현저저우대조조（P＜0.05），전운과정중적불만의정도관찰조명현고우대조조（P＜0.01），차이균유통계학의의。결론?재전운전대위중환자진행전면적평고풍험급이익，재전운과정중실시진행감호급관찰，도체상관과실대환자적초보진단급상관정황진행상세적교접급기록，포괄의사지간화호사지간적교접。재전운과정중진행안전적호리대위중환자적예후급감소병발증적발생시관건。
Objective?Emergency?critically?ill?patients?with?nosocomial?transit?potential?risks?and?preventive?measures?were?discussed.?Methods?Analysis?of?our?hospital?emergency?department?in?March?2011?to?June?2011?in?the?transport?of?the?clinical?data?of?108?cases?of?critically?ill?patients?and?set?as?control?group,?The?group?with?normal?transport?nursing,?on?March?1,?2012?to?June?1,?2012?transfer?of?120?emergency?critically?ill?patients?as?observation?group,?the?group,?safe?transport?nursing.?Compare?two?groups?of?patients?in?the?hospital?the?case?of?an?accident?during?the?transfer?process?and?no?satisfaction.?Result?Through?comparative?analysis,?observation?group?accidental?incidence?was?signiifcantly?lower?than?the?control?group?(P?<?0.05),?no?satisfaction?in?the?process?of?transshipment?observation?group?is?signiifcantly?higher?than?control?group?(P?<?0.01),?difference?have?statistical?signiifcance.?Conclusion?In?front?of?the?transporter?in?critically?ill?patients?with?a?comprehensive?assessment?of?the?risks?and?beneifts,?care?and?observation?in?real?time?in?transit?to?reach?the?relevant?sections?of?the?patient's?initial?diagnosis?and?detailed?handover?and?records,?including?between?physicians?and?nurses?between?the?handover.?In?the?transport?process?safe?nursing?care?for?the?prognosis?of?critically?ill?patients?and?reduce?the?occurrence?of?complications?is?the?key.