CAJ | 학술논문

目的：通过多个科室联合护理查房，优化急救护理流程，缩短急诊高危患者在急救绿色通道停留时间。方法护理联合查房是结合具体病例，以对患者的救治活动为主线进行护理工作流程的演示与讨论，涉及科室共同参加。护理联合查房针对工作流程，找出各个接口或流程中的不足，并进行讨论分析，提出具体措施，通过循证制定新的工作流程。结果优化流程前，急性心肌梗死患者在绿色通道停留的时间为（97．32±42．08） min，急性脑梗死患者为（92．04±43．16） min，严重多发伤患者为（85.09±46．87）min；优化流程后，急性心肌梗死患者在绿色通道停留的时间为（79．17±14．65）min，急性脑梗死患者为（77．92±33．96）min，严重多发伤患者为（69．70±31．40）min，差异均有统计学意义（t值分别为4．094，2．091，2．403；P＜0．05）。结论多科室联合查房是护理查房又一形式的探索与补充，对加强临床科室之间的相互了解、相互合作及优化护理流程起到了积极的推进作用。
목적：통과다개과실연합호리사방，우화급구호리류정，축단급진고위환자재급구록색통도정류시간。방법호리연합사방시결합구체병례，이대환자적구치활동위주선진행호리공작류정적연시여토론，섭급과실공동삼가。호리연합사방침대공작류정，조출각개접구혹류정중적불족，병진행토론분석，제출구체조시，통과순증제정신적공작류정。결과우화류정전，급성심기경사환자재록색통도정류적시간위（97．32±42．08） min，급성뇌경사환자위（92．04±43．16） min，엄중다발상환자위（85.09±46．87）min；우화류정후，급성심기경사환자재록색통도정류적시간위（79．17±14．65）min，급성뇌경사환자위（77．92±33．96）min，엄중다발상환자위（69．70±31．40）min，차이균유통계학의의（t치분별위4．094，2．091，2．403；P＜0．05）。결론다과실연합사방시호리사방우일형식적탐색여보충，대가강림상과실지간적상호료해、상호합작급우화호리류정기도료적겁적추진작용。
Objective To optimize the emergency nursing process and shorten the access time of the high-risk patients in the emergency green channel by multi-department ward rounds .Methods The nursing department organized all nursing staff which were involved in the rescue process , and discussed and analyzed the real cases to find the weakness of the process , and put forward the specific measures and solved the real clinical problems.Results Before the optimization of process , the detention time of critical patients with myocardial infarction, cerebral infarction and severe multiple injuries were (97.32 ±42.08),(92.04 ±43.16) and (85.09 ±46.87)min.Those time after the optimization of process were (79.17 ±14.65), (77.92 ±33.96) and (69.70 ±31.40 ) min, respectively.There were significant differences before and after the optimization (t=4.094, 2.091, 2.403, respectively; P<0.05).Conclusions Multi-department ward rounds plays a positive role in promoting and strengthening the mutual understanding , mutual cooperation among clinical departments , and optimization of the nursing process .