CAJ | 학술논문

目的：探讨专职化分层护理小组模式在急诊科心血管危重患者抢救中的应用实践。方法改变传统抢救护理方法，由三级护士构成专职化分层护理小组（专职组）为中心的急救模式。比较专职组与传统护理小组（传统组）在急诊心功能Ⅳ级、心绞痛Ⅳ级、急性ST段抬高心肌梗死（ STEMI）患者抢救中静脉通道开放时间、急诊室滞留时间，患者家属及医生对急救护理工作满意度情况。结果专职组静脉通道开放时间及抢救室滞留时间分别为（3．6±1．3），（55．6±25．7） min，较传统组的（4．4±1．3），（62．6±29．3）min明显缩短，两组比较差异有统计学意义（t分别为5．913，2．554；P＜0．05）；专职组患者家属及医生对专职组急救护理工作满意度分别为95．6％，98．9％，均优于传统组的88．7％，91．4％，且差异有统计学意义（χ2分别为4．98，9．43；P＜0．05）。结论专职化分层护理小组对急诊抢救室护理工作有一定促进作用，能有效提高急诊科护士核心能力，确保急救护理服务质量。
목적：탐토전직화분층호리소조모식재급진과심혈관위중환자창구중적응용실천。방법개변전통창구호리방법，유삼급호사구성전직화분층호리소조（전직조）위중심적급구모식。비교전직조여전통호리소조（전통조）재급진심공능Ⅳ급、심교통Ⅳ급、급성ST단태고심기경사（ STEMI）환자창구중정맥통도개방시간、급진실체류시간，환자가속급의생대급구호리공작만의도정황。결과전직조정맥통도개방시간급창구실체류시간분별위（3．6±1．3），（55．6±25．7） min，교전통조적（4．4±1．3），（62．6±29．3）min명현축단，량조비교차이유통계학의의（t분별위5．913，2．554；P＜0．05）；전직조환자가속급의생대전직조급구호리공작만의도분별위95．6％，98．9％，균우우전통조적88．7％，91．4％，차차이유통계학의의（χ2분별위4．98，9．43；P＜0．05）。결론전직화분층호리소조대급진창구실호리공작유일정촉진작용，능유효제고급진과호사핵심능력，학보급구호리복무질량。
Objective To investigate the application of specific duty hierarchical nursing team in rescuing cardiovascular critical patients .Methods We changed traditional nursing care ( traditional group ) into specific duty hierarchical nursing team ( specific group ) composed of three-rating nurses and compared open venous channel time and ER retention time in rescuing patients with NYHA Ⅳ, Angina grade Ⅳ and ST-segment elevation myocardial infarction ( STEMI).We also surveyed the family members of patients and doctors’ satisfaction with the practice of specific group in nursing .Results The open venous channel time (3.6 ±1.3) min and ER retention time ( 55.6 ±25.7 ) min were significantly reduced in specific group compared to traditional group [respectively (4.4 ±1.3),(62.6 ±29.3)min](t=5.913,2.554,respectively;P<0.05).The patients and doctors’ satisfaction rate with nursing service in specific groups was 95.6% and 98.9%,which were better than those in traditional group (88.7%,91.4%), and the differences were statically significant(χ2 =4.98,9.43,respectively;P<0.05).Conclusions Specific duty hierarchical nursing benefited nursing care of emergency room , enhanced core competencies of nurses and ensured the quality of emergency care.