急性上消化道大出血抢救护理流程再造及应用效果  

Reengineering and application effect of rescue nursing process patients with acute upper gastrointestinal hemorrhage

作　　者：雷巧玲[1] 王景杰[1] 郎红娟[1] 张茹[1] 刘莎[1] 张琳[1] 崔丽[1] 

机构地区：[1]中国人民解放军第四军医大学唐都医院

出　　处：《护理研究（中旬版）》2014年第12期4395-4397,共3页Chinese Nursing Researsh

摘　　要：[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90mmHg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90mmHg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。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.

关 键 词：上消化道出血 急救护理 护理流程再造 

分 类 号：R473.5[医药卫生—护理学]