CAJ | 학술논문

[目的]优化急性上消化道大出血抢救护理流程，提高护理抢救配合质量与效率。[方法]成立流程再造小组，借鉴循证医学理论，对现有流程进行分析再造并应用于抢救护理中，比较再造前后病人呼吸道误吸的发生率、成功建立有效输液通道时间、收缩压回升至90 mmHg 的时间及医生对护理配合的满意度。[结果]流程再造后较再造前病人呼吸道误吸的发生率降低(P<0.05)，成功建立有效输液通道时间和收缩压回升至90 mmHg 的时间明显缩短(P 均<0.01)，医生对护理抢救配合的满意率提高(P <0.05)。[结论]流程再造使急性上消化道大出血的抢救护理程序化、职责化和规范化，提高了护理抢救质量与效率，提升了医生对护理配合的满意度。
[목적]우화급성상소화도대출혈창구호리류정，제고호리창구배합질량여효솔。[방법]성립류정재조소조，차감순증의학이론，대현유류정진행분석재조병응용우창구호리중，비교재조전후병인호흡도오흡적발생솔、성공건립유효수액통도시간、수축압회승지90 mmHg 적시간급의생대호리배합적만의도。[결과]류정재조후교재조전병인호흡도오흡적발생솔강저(P<0.05)，성공건립유효수액통도시간화수축압회승지90 mmHg 적시간명현축단(P 균<0.01)，의생대호리창구배합적만의솔제고(P <0.05)。[결론]류정재조사급성상소화도대출혈적창구호리정서화、직책화화규범화，제고료호리창구질량여효솔，제승료의생대호리배합적만의도。
Objective:To optimize the rescue nursing process of patients with acute upper gastrointestinal hemorrhage,so as to improve the quality and efficiency of nursing rescue cooperation.Methods:BPR team was founded,drawing on evidence based medicine theory to ana-lyze and reengineer the existing processes and apply it in rescue nurs-ing,to compare the incidence of respiratory aspiration of patients,suc-cessfully established an effective channel infusion time,time of systolic blood pressure rose to 90 mmHg and doctor’s satisfaction to nursing coordination.Results:After the process reengineering,the incidence of respiratory aspiration rate dropped(P <0.05),the time for establishing a successful infusion channel shrank and the time span for systolic blood pressure arising to 90mmHg decreased significantly(P <0.01 ). Moreover,the doctors’satisfaction rate to nursing rescue cooperation was improved(P <0.05).Conclusion:Procedure reengineering not only makes the emergency nursing of patients with acute upper gastrointes-tinal hemorrhage programmed,dutied and standardized,but also increa-ses the quality and efficiency of emergency nursing and the doctors’ satisfaction to nursing coordination.