基于ICNSS系统的分层管理在脑外伤患者中的应用效果  

Application of hierarchical management system based on ICNSS in traumatic brain injury patients

作　　者：苏晓丽[1] 赵江宁[1] 胡炜[1] 孙捷[1] 密弘飞 

机构地区：[1]陕西省人民医院急诊外科,西安,710068

出　　处：《中华现代护理杂志》2016年第20期2906-2908,共3页Chinese Journal of Modern Nursing

基　　金：陕西省2013--2014年国家临床重点专科建设项目[国卫办医函（2013）544号]

摘　　要：目的：探讨基于重症监护护理评分系统（ ICNSS）的分层管理模式在ICU脑外伤患者中的应用效果。方法将2013年6月—2014年5月收治的65例 ICU 脑外伤患者作为对照组，2014年6月—2015年5月收治的60例ICU脑外伤患者作为观察组，对照组实施常规性护理，观察组患者基于ICNSS评分系统实施分层管理，比较两组患者预后、并发症、护患纠纷事件、护理风险事件及患者满意度的差异。结果观察组植物生存率3．33％、并发症发生率6．67％、护患纠纷事件发生率3．33％、护理风险事件发生率5．00％，均低于对照组，差异有统计学意义（χ2值分别为4．296，4．720，4．296，5．354；P＜0．05）。观察组患者对护理质量满意度的评分中，健康教育（3．85±0．45）分、医疗环境（3．79±0．53）分、心理护理（3．65±0．78）分、服务态度（3．38±0．56）分、操作性护理（3．49±0．29）分，均高于对照组，差异均有统计学意义（t值分别为40．821，36．362，23．801，24．972，43．465；P＜0．01）。结论基于ICNSS分层管理模式能合理有效配置ICU病房人力资源，提高ICU脑外伤患者护理质量，降低患者护理风险事件的发生，提高患者及其家属满意度。Objective To explore application effect of hierarchical management based on Intensive Care Nursing Scoring System （ ICNSS） in intensive care unit （ ICU） patients with brain injury .Methods A total of 65 ICU patients with brain injury from June 2013 to May 2014 were treated as control group;another 60 cases of ICU patients with brain injury from June 2014 to May 2015 were treated as observation group .Patients in the control group were implemented with routine nursing , while the observation group with hierarchical management based on ICNSS system.Prognosis, complications, nurse-patient disputes events, nursing risk events, and patient satisfaction of two groups were compared .Results In observation group, plant survival rate （3.33%）, incidence of complications （6.67%）, nurse dispute event rate （3.33%）, incidence of nursing risk events （5.00%） were lower than those of the control group （χ2 =4.296,4.720,4.296,5.354;P〈0.05）.Among patient satisfaction of the observation group , scores of health education （ 3.85 ±0.45 ） points, medical environment（3.79 ±0.53）points, psychological nursing（3.65 ±0.78）points, service attitude（3.38 ±0.56） points, operational care（3.49 ±0.29）points were higher than those of the control group （t=40.821,36.362, 23.801,24.972,43.465;P〈0.01）.Conclusions Based on the ICNSS, hierarchical management model can allocate human resources in ICU reasonably and effectively , improve quality of care for patients with traumatic brain in ICU , reduce the incidence nursing risk events and elevate patient and family satisfaction .

关 键 词：重症监护护理评分系统 重症监护病房 脑外伤 预后 满意度 

分 类 号：R473.6[医药卫生—护理学]