CAJ | 학술논문

目的：探索个案追踪方法学在呼吸科危重疾病患者护理中的应用。方法：采用个案追踪法，选择2012年1月-2014年12月病区危重疾病患者60例，结合具体病例根据护理全过程14条，通过对危重患者全方位的跟踪、分析，较真实地发现危重患者全过程中的护理问题，并进行持续质量改进。结果：通过追踪查房，能够提高护士的临床思维，护理专业水平得到发展，患者得到更好的照护，患者满意度得到提高，实施追踪查房前后比较差异均有统计学意义（P<0.05）。结论：追踪方法学应用于危重疾病个案护理查房，可以培养与提高护士临床护理综合能力，使危重疾病患者获得更优质的护理，减少并发症，降低住院天数，获得良好的社会效益。
목적：탐색개안추종방법학재호흡과위중질병환자호리중적응용。방법：채용개안추종법，선택2012년1월-2014년12월병구위중질병환자60례，결합구체병례근거호리전과정14조，통과대위중환자전방위적근종、분석，교진실지발현위중환자전과정중적호리문제，병진행지속질량개진。결과：통과추종사방，능구제고호사적림상사유，호리전업수평득도발전，환자득도경호적조호，환자만의도득도제고，실시추종사방전후비교차이균유통계학의의（P<0.05）。결론：추종방법학응용우위중질병개안호리사방，가이배양여제고호사림상호리종합능력，사위중질병환자획득경우질적호리，감소병발증，강저주원천수，획득량호적사회효익。
Objective:To explore the case tracking methodology in the patient care in acute respiratory diseases. Method:The case tracking method was adopted, 60 ward patients with severe disease were selected from January 2012 to December 2014,combined with specific cases, accorded to the nursing process of article 14, by means of critically ill patients with a full range of tracked and analyzed,a real critical patients’ nursing problems in the whole process was discovered,and quality improvement was continued.Result:Through rounds, could improved the nurse clinical thinking, development of nursing profession level improved, patients got better care, patient satisfaction was improved, the differences were statistically significant(P<0.05).Conclusion:Tracking methodology applied in the critically ill disease cases nursing ward round,can cultivate and improve comprehensive clinical nursing ability,critical illness patients get better care,reduce complications, reduce the hospitalization days,and obtain good social benefits.