某三级甲等医院神经外科监护室脑室颅内压监测规范化的现状调查  

Current status of standardized ventricular intracranial pressure monitoring in NICU of one level three class A hospital

作　　者：王军[1] 鲍月红[1] 马春梅[1] 杨莘[2] 刘芳[3] 李冬[3] 

机构地区：[1]首都医科大学宣武医院神经外科重症监护室,北京100053 [2]首都医科大学宣武医院护理部,北京100053 [3]首都医科大学宣武医院神经内科重症监护室,北京100053

出　　处：《中华现代护理杂志》2016年第2期206-209,共4页Chinese Journal of Modern Nursing

基　　金：首医中医药及护理研究专项护理重点项目（12ZYH11）

摘　　要：目的 调查分析护士脑室颅内压监测操作的规范率及常见错误类型.方法 采用科室制定的考核标准以方便抽样法对45名护士进行现场调查.结果 75.6%的护士符合操作规范要求.24.4%护士操作不规范,其常见类型为测压前未关闭脑室引流（37.5%）、未校零（25.0%）、零点位置不正确（16.7%）、护理操作后立即测压（8.3%）、患者头部未在正中位（8.3%）、管路不通畅（4.2%）等.年龄、职称、ICU工龄是护士颅内压监测操作不规范的影响因素.结论 护士在脑室颅内压监测操作中不规范涉及操作的多个环节.ICU工作时间短、技术职称低、年轻的护士容易出现操作不规范,应加强对他们的培训与考核.Objective To investigate the standard rate and common types of mistakes in ventricular intracranial pressure monitoring in neurosurgery intensive care unit （ NICU ） . Methods A total of 45 nurses were enrolled by convenience sampling method and investigated with assessment criteria developed by Department of Neurosurgery. Results There were 75. 6% nurses conformed to the operation standard, while 24. 4% nurses didn′t. The common types of mistakes were ventricular drainage unclosed before measuring pressure （37. 5%）, measuring pressure without zero correction （25. 0%）, incorrect zero position （16. 7%）, measuring pressure immediately after nursing operations （8. 3%）, measuring pressure without patients′head at median position （8. 3%）, and tubes obstruction （4. 2%）, etc. The different ages, professional （technical） titles and working years of nurses in ICU were the influencing factors of standardized ventricular intracranial pressure monitoring. Conclusions Nurses have some non-standard operation and multiple practice during ventricular intracranial pressure monitoring. More attentions should be paid to provide standardized ventricular intracranial pressure monitoring training for nurses who are young, low occupational title and short of working experience in ICU.

关 键 词：颅内压监测 规范化 调查 

分 类 号：R473.6[医药卫生—护理学]