专业化护理团队运作在危重患者护理管理中的效果评价  

Evaluation of the effectiveness of specialized nursing team in the management of critical patients

作　　者：袁莉萍 蒋莉莉 张鹏 江海娇 吕小红 雍海荣 刘欢 陶秀彬 Yuan Liping;Jiang Lili;Zhang Peng;Jiang Haijiao;Lyu Xiaohong;Yong Hairong;Liu Huan;Tao Xiubin(Nursing Department, the First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China;ICU Department, the First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China;NSICU Department, the First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China)

机构地区：[1]皖南医学院第一附属医院护理部,芜湖241001 [2]皖南医学院第一附属医院ICU,芜湖241001 [3]皖南医学院第一附属医院NSICU,芜湖241001

出　　处：《中国实用护理杂志》2019年第30期2390-2394,共5页Chinese Journal of Practical Nursing

基　　金：芜湖市科技计划(2016hm12).

摘　　要：目的探讨以专科护士为主和部分急重症科护士长组成的专业化团队,在全院危重患者护理管理中的应用效果。方法2016-2018年危重症护理专业组实施由省级及以上专科护士及各急重症科室专科护理业务骨干,共23人组成核心成员;下设从每病区选联络员1名共56人,参加由专业组核心人员主持的各项培训考核活动;同时专业组联络员兼任本病区危重症护理质控组长,实施危重患者三级护理质控;核心成员负责院内危重患者护理会诊指导,对联络员开展重症护理知识、技能和相关护理标准、规范的多元化培训与考核,以及急重症专科护理新技术新项目或研究课题的分享活动,和院内重症监护岗位培训。对专业化护理团队运作前后,2015-2018年危重患者护理质控得分、护理满意度调查、工作2~25年护士发表文章专利数量、患者病死率,以及2016-2018年非计划拔管率结果进行比较。结果2015-2018年危重患者护理质控全年平均得分分别为(93.91 ± 1.23)、(94.07 ± 1.38)、(94.33 ± 1.24)、(95.42 ± 1.56)分,差异有统计学意义(F=49.597,P<0.01);满意度调查得分分别为(94.92 ± 2.28)、(97.08 ± 1.37)、(97.82 ± 1.52)、(97.94 ± 1.68)分,差异有统计学意义(F=30.882,P<0.01);工作2~20年护士人数分别为678、809、853、925人,共发表文章专利数分别为76、119、147、237篇,差异有统计学意义(χ2=36.77,P<0.01);2016-2018年非计划拔管率分别为4.98‰(127/25 517)、4.01‰(115/28 713)、3.25‰(112/34 493),差异有统计学意义(χ2=10.958,P<0.01)。结论专业化护理团队运作模式可提升护理人员的重症护理核心能力和综合素质,提高危重患者护理管理质量,保障患者安全,达到护理质量持续改进。Objective To explore the application effect of a specialized team consisting of specialist nurses and some emergency care′s or intensive care′s head nurses of critically ill patients in the hospital. Methods From 2016 to 2018, the Critical Care Professional Group of implemented a provincial and above specialist nurses and the backbone of the specialist care departments of the acute and critical departments. A total of 23 members were composed of core members. A total of 56 liaison officers from each ward were selected to participate. The training and assessment activities presided over by the core staff of the professional group;at the same time, the professional group liaison officer is also the leader of the critical care quality control team in this ward, and implements the quality control of critical care patients;the core members are responsible for the guidance of the nursing care of critical patients in the hospital. The liaison staff carries out the training and assessment of the intensive care knowledge, skills and related nursing standards, norms, as well as the sharing of new technologies and new projects or research topics for acute and critical care, and the training of intensive care posts in the hospital. Before and after the operation of the specialized nursing team, the quality control scores of critically ill patients in 2015-2018, the satisfaction survey of nursing, the number of patents published by nurses in 2-25 years, the mortality rate of patients, and the results of unplanned extubation in 2016-2018 Compare. Results The quality control scores of critical care patients in 2015-2018 were 93.91±1.23, 94.07±1.38,94.33±1.24, 95.42±1.56. The difference was statistically significant (F=49.597, P < 0.01). Satisfaction survey scores were 94.92±2.28, 97.08±1.37, 97.82±1.52, 97.94±1.68, the difference was statistically significant (F=30.882, P < 0.01);work 2-20 years The number of nurses was 678, 809, 853, and 925 respectively. The number of patents published was 76, 119, 147, and 237, r

关 键 词：专科护士 重症监护 专业团队 护理质量 

分 类 号：R473[医药卫生—护理学]