中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
29期
2235-2238
,共4页
护理计划单%急诊%危重患者%设计与应用
護理計劃單%急診%危重患者%設計與應用
호리계화단%급진%위중환자%설계여응용
Nursing care plan%Emergency%Critically ill patients%Design and application
目的：探讨个性化危重患者护理计划单在急诊重症监护病房的应用效果。方法根据护理部相关标准设计个性化危重患者护理计划单，内容包括共性及个性化护理问题和护理措施；将2012年1月至2014年9月在我科住院的急诊危重患者116例，按随机数字表法分为观察组和对照组各58例，护士分别采用个性化危重患者护理计划单和医院统一的陈述问题式危重患者护理计划单分别对观察组和对照组患者进行记录和交接，比较2组患者护理质量各项指标、护士对护理计划单的满意度。结果观察组患者的基础护理、专科护理、计划单、病情处置等不合格率和不良事件发生率均明显低于对照组（32.76%比62.07%，χ2=2.98，P ＜0.05；37.93%比67.24%，χ2=2.98，P ＜0.05；29.31%比68.97%，χ2=4.09，P＜0.05；20.69%比53.45%，χ2=3.46，P＜0.05；10.34%比72.41%，χ2=6.60，P＜0.05），差异均有统计学意义，护理质量明显提高。护士对个性化危重患者护理计划单的满意度明显高于医院统一的陈述问题式危重患者护理计划单，P＜0.05。结论使用个性化危重患者护理计划单可防止因病情评估不全或护理计划漏项造成的护理缺陷，从而提高护理质量。
目的：探討箇性化危重患者護理計劃單在急診重癥鑑護病房的應用效果。方法根據護理部相關標準設計箇性化危重患者護理計劃單，內容包括共性及箇性化護理問題和護理措施；將2012年1月至2014年9月在我科住院的急診危重患者116例，按隨機數字錶法分為觀察組和對照組各58例，護士分彆採用箇性化危重患者護理計劃單和醫院統一的陳述問題式危重患者護理計劃單分彆對觀察組和對照組患者進行記錄和交接，比較2組患者護理質量各項指標、護士對護理計劃單的滿意度。結果觀察組患者的基礎護理、專科護理、計劃單、病情處置等不閤格率和不良事件髮生率均明顯低于對照組（32.76%比62.07%，χ2=2.98，P ＜0.05；37.93%比67.24%，χ2=2.98，P ＜0.05；29.31%比68.97%，χ2=4.09，P＜0.05；20.69%比53.45%，χ2=3.46，P＜0.05；10.34%比72.41%，χ2=6.60，P＜0.05），差異均有統計學意義，護理質量明顯提高。護士對箇性化危重患者護理計劃單的滿意度明顯高于醫院統一的陳述問題式危重患者護理計劃單，P＜0.05。結論使用箇性化危重患者護理計劃單可防止因病情評估不全或護理計劃漏項造成的護理缺陷，從而提高護理質量。
목적：탐토개성화위중환자호리계화단재급진중증감호병방적응용효과。방법근거호리부상관표준설계개성화위중환자호리계화단，내용포괄공성급개성화호리문제화호리조시；장2012년1월지2014년9월재아과주원적급진위중환자116례，안수궤수자표법분위관찰조화대조조각58례，호사분별채용개성화위중환자호리계화단화의원통일적진술문제식위중환자호리계화단분별대관찰조화대조조환자진행기록화교접，비교2조환자호리질량각항지표、호사대호리계화단적만의도。결과관찰조환자적기출호리、전과호리、계화단、병정처치등불합격솔화불량사건발생솔균명현저우대조조（32.76%비62.07%，χ2=2.98，P ＜0.05；37.93%비67.24%，χ2=2.98，P ＜0.05；29.31%비68.97%，χ2=4.09，P＜0.05；20.69%비53.45%，χ2=3.46，P＜0.05；10.34%비72.41%，χ2=6.60，P＜0.05），차이균유통계학의의，호리질량명현제고。호사대개성화위중환자호리계화단적만의도명현고우의원통일적진술문제식위중환자호리계화단，P＜0.05。결론사용개성화위중환자호리계화단가방지인병정평고불전혹호리계화루항조성적호리결함，종이제고호리질량。
Objective To investigate the effect of the personalized nursing care plan sheet for critically ill patients in the emergency intensive care unit. Methods The personalized nursing care plan sheet including general, personalized nursing issues and related measures was designed according to the standard from the nursing department. A group of 116 critically ill patients were divided into the observational group (58 patients) and control group (58 patients) from January 2012 to September 2014. The personalized nursing care plan sheet were applied for record and hand over in the observational group, while the unified problem statement nursing care plan sheet were used in the control group. The indicators of nursing quality were observed in the two groups and the nurses′satisfaction with the nursing care plan sheets was compared. Results The nursing quality in the observational group was higher than it in the control group with the lower incidence of failure rate in fundamental nursing, professional nursing, plan sheet, disease treatment and adverse event (32.76% vs. 62.07%,37.93% vs. 67.24%,29.31% vs. 68.97%, 20.69% vs. 53.45%, 10.34% vs. 72.41%, the χ2 values were 2.98, 2.98, 4.09, 3.46 and 6.60 respctively, P<0.05). The nurses′satisfaction with the personalized nursing care plan sheet was also higher than the unified problem statement nursing care plan sheet (P<0.05). Conclusion The incidence of nursing defects could be reduced by avoiding the incomplete nursing assessment and omitted nursing plan.
