医护一体化模式在失血性休克产妇院内急救衔接中的应用  

Application of doctor-nurse collaborating model in intra-hospital transportation of parturient women with hemorrhagic shock

作　　者：郭伟航[1] 许超[1] 谭晓艳[1] 刘晓虹 GUO Weihang;XU Chao;TAN Xiaoyan;LIU Xiaohong(Operating Theater,Boai Hospital of Zhongshan,Zhongshan,Guangdong,528403)

机构地区：[1]广东省中山市博爱医院手术室,广东中山528403

出　　处：《中西医结合护理（中英文）》2018年第5期154-155,共2页Journal of Clinical Nursing in Practice

基　　金：2014年中山市卫生局医学科研立项课题(2014A020380)

摘　　要：目的探讨医护一体化交班模式在失血性休克产妇急救中的应用效果。方法选取2015年1月—12月收治的43例失血性休克高危产妇为对照组,采用常规方法进行术前交接班。另选取2016年1月—12月上述病因在我院进行治疗的38例高危产妇为观察组,采用医护一体化交班模式。观察2组患者手术开台时间、护理不良事件发生率。结果观察组手术开台时间为(8.08±1.75)min,短于对照组的(12.40±2.38)min,差异有统计学意义(P<0.05)。对照组交接病情不全面、物品交接不齐全发生率分别为20.93%、27.91%,高于观察组的2.63%、2.63%(P<0.05)。结论失血性休克产妇院内急救衔接中使用医护一体化交班模式,能够缩短手术开台时间,减少交接不良事件的发生风险。Objective To investigate the effect of doctor-nurse collaborating model in intra-hospital transportation of parturient women with hemorrhagic shock.Methods Totally 43 parturient women were selected as the control group between January,2015.Another and December,2015,another 38 parturient women with hemorrhagic shock were included as the observation group between January,2016 and December,2016.The routine preoperative shit management was carried out in the control group,and the doctor-nurse collaborating model was adopted in the observation group additionally.The starting time of surgery and nursing adverse events were observed and compared between two groups.Results The starting time of surgery was(8.08±1.75)min,in the observation group,which was shorter than(12.4±2.38)min of the control group(P<0.05).The incidence of incomplete transfer of illness information and medical items was lower in the observation group than that of controls(2.63%vs,20.93%,2.63%vs.27.91%,P<0.05).Conclusion The doctor-nurse collaborating model is potentially effective to reduce the time-cost in intra-hospital transportation of parturient women with hemorrhagic shock.

关 键 词：医护一体化 交班模式 失血性休克 院内转运 护理管理 

分 类 号：R473.71[医药卫生—护理学]