无缝隙护理管理模式在ICU转出患者中的应用  

Effects of seamless nursing management model in transition of intensive care unit patients

作　　者：刘雅楠[1] 赵伟娣[1] 马惠欣[1] 姜巍[1] Liu Ya-nan;Zhao Weidi;Ma Huixin;Jiang Wei(B Area,Intensive Care Unit,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院重症加强治疗病房B区,哈尔滨150086

出　　处：《中华现代护理杂志》2019年第4期516-518,共3页Chinese Journal of Modern Nursing

基　　金：黑龙江省教育厅科学技术项目(12541495).

摘　　要：目的探讨无缝隙护理管理模式对ICU转出患者的影响。方法采用便利抽样法,选择2017年2月—2018年1月在哈尔滨医科大学附属第二医院住院于1周内转出ICU的患者128例,按照随机数字表法随机分为对照组和观察组各64例,对照组实施常规护理管理模式,而观察组用无缝隙护理管理模式,进行转出前评估、家属沟通、医护交接以及患者物品交接等。调查两组转出ICU患者72 h内ICU重返率、科室间电话咨询例数以及患者满意度。结果应用无缝隙护理管理后,观察组患者ICU重返率3.13%(2/64),科室间电话询问例数占6.25%(4/64),低于对照组;观察组患者满意率96.88%(62/64),高于对照组;差异均有统计学意义(χ^2值分别为5.89、18.29、8.02;P<0.05)。结论无缝隙护理管理模式使ICU转出患者过渡期护理完整、科学,提高了ICU转出患者的满意度,对提高护理工作效率和质量具有积极影响。Objective To explore the effects of seamless nursing management model in transition of intensive care unit(ICU)patients.Methods From February 2017 to January 2018,we selected 128 patients discharged from ICU within one week in the Second Hospital of Harbin Medical University by convenience sampling.All of the patients were divided into control group and observation group with the method of the random number table,64 cases in each group.Control group carried out routine nursing management model,while observation group implemented seamless nursing management model with assessment before roll-out,family members communication,doctor-nurse handover and goods handover of patients.And then,we investigated the rate of return to ICU of patients discharged from ICU within 72 hours,cases of telephone counseling in departments and patient satisfaction between two groups.Results After implementing seamless nursing management,the rate of return to ICU and cases of telephone counseling in departments of patients in observation group were 3.13%(2/64)and 6.25%(4/64)respectively lower than those in control group;the patient satisfaction of observation group was 96.88%(62/64)higher than that of control group;the differences were all statistical(χ^2=5.89,18.29,8.02;P<0.05).Conclusions Seamless nursing management model makes transitional care for patients discharged from ICU complete and scientific which improves satisfaction patients discharged from ICU and has a positive effect on improving nursing work efficiency and quality.

关 键 词：重症监护病房 转出过渡期 无缝隙护理管理 满意度 

分 类 号：R473[医药卫生—护理学]