CAJ | 학술논문

目的：观察协同护理模式(CCM)在急诊科管道护理中的应用效果。方法选取2013年1~12月本院急诊科收治的240例带有管道患者，按入院时间先后顺序分为对照组和试验组，各120例。对照组实施常规护理，试验组在常规护理基础上运用CCM进行干预。经护理干预后，比较两组患者非计划拔管率、对管道名称及使用注意事项知晓率、管道不良事件发生率、患者的满意度情况。结果经护理干预后，试验组的管道护理质量显著优于对照组，两组差异有统计学意义(P<0.01)；其中患者的满意度增幅最大，由对照组的75豫增至试验组的91.7豫；其次为管道名称及使用注意事项知晓率，由80%增至90%；非计划拔管率由16.7%降至5%；管道不良事件发生率由15%降至8.3%。结论 CCM在急诊科管道护理中取得了良好的效果，不但提高了管道的护理质量，还体现了专业护士的自我价值，同时也提升了患者的满意度，值得临床推广。
목적：관찰협동호리모식(CCM)재급진과관도호리중적응용효과。방법선취2013년1~12월본원급진과수치적240례대유관도환자，안입원시간선후순서분위대조조화시험조，각120례。대조조실시상규호리，시험조재상규호리기출상운용CCM진행간예。경호리간예후，비교량조환자비계화발관솔、대관도명칭급사용주의사항지효솔、관도불량사건발생솔、환자적만의도정황。결과경호리간예후，시험조적관도호리질량현저우우대조조，량조차이유통계학의의(P<0.01)；기중환자적만의도증폭최대，유대조조적75예증지시험조적91.7예；기차위관도명칭급사용주의사항지효솔，유80%증지90%；비계화발관솔유16.7%강지5%；관도불량사건발생솔유15%강지8.3%。결론 CCM재급진과관도호리중취득료량호적효과，불단제고료관도적호리질량，환체현료전업호사적자아개치，동시야제승료환자적만의도，치득림상추엄。
Objective To observe the application effect of collaborative care model (CCM) on canal nursing in depart-ment of emergency. Methods 240 patients with tubes admitted to the department of emergency in our hospital from January to December in 2013 were selected.They were evenly divided into control group and experimental group based on the sequence of being hospitalized,with 120 cases in each group.The control group was provided conventional nurs-ing,while in the experimental group,on the basis of the conventional nursing,CCM was applied for intervention.After in-tervention,rate of unplanned extubation,awareness rate of tube’s name and precautions for use,incidence of canal ad-verse event and patient’s satisfaction in two groups was compared. Results After nursing intervention,the pipeline nurs-ing quality in experimental group was significantly better than that of the control group,the difference was significant(P<0.05).Patient’s satisfaction was increased most which was 75% in the control group and 91.7% in the experimental group.The second place was awareness rate of tube’s name and precautions for use,which was increased from 80% to 90%.Rate of unplanned extubation was decreased from 16.7% to 5% and the incidence of canal adverse event was de-creased from 15% to 8.3%. Conclusion CCM obtains a great effect on canal nursing in department of emergency.It not only improves the quality of canal nursing,also reflects the professional nurse’s self-worth,and increases patient’s satis-faction as well,which is worthy of promotion in clinical.