CCU护理风险管理对法洛四联症患儿术后监护质量的影响  

Effect of CCU nursing risk management on postoperative care quality of children with tetralogy of fallot

作　　者：张巍 易敏[1] 周雅婷[1] 盈莹 项明[1] 冷虹瑶[1] ZhangWei;Yi Min;Zhou Yating;Ying Ying;Xiang Ming;Leng Hongyao(National Center for Clinical Research in Child Health and Disease,Department of Thoracic Surgery,Children's Hospital Affiliated to Chongqing Medical University,Key Laboratory of Child Developmental Diseases,Ministry of Education,National Base for International Scientific and Technological,Chongqing Key Laboratory of Pediatrics,Chongqing,400014,China)

机构地区：[1]国家儿童健康与疾病临床医学研究中心,重庆医科大学附属儿童医院胸心外科,儿童发育疾病研究教育部重点实验室,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室,重庆400014

出　　处：《当代医学》2020年第14期47-50,共4页Contemporary Medicine

摘　　要：目的探究CCU护理风险管理对小儿法洛四联症根治术后监护质量的影响。方法选取2012年1月至2017年12月在本院行法洛四联症根治术的患儿242例。其中105例行术后常规监护管理的患儿为对照组,137例行术后常规监护管理+CCU护理风险管理的患儿为观察组。比较两组患儿围手术期机械通气时间、监护室停留时间、撤机次数、住院时间;比较术后低心排综合征、毛细血管渗透综合征、心律失常、肺不张等并发症以及死亡情况;比较压疮、导管脱落、跌倒、感染等风险事件发生情况。评价CCU护理风险管理在小儿法洛四联症根治术中的护理效果。结果观察组患儿机械通气时间、监护室停留时间、撤机次数及住院时间均明显优于对照组,组间比较差异有统计学意义(P<0.05)。观察组术后并发症总发生率(67.2%vs. 81.9%)及不良事件总发生率(21.2%vs. 40.0%)低于对照组,组间比较差异有统计学意义(P<0.05)。结论法洛四联症患儿术后进行科学有效的CCU护理风险管理,可有效避免并发症及不良事件的发生,疗效及监护质量显著,具有较高的临床应用价值。Objective To explore the influence of CCU nursing risk management on the quality of care after radical treatment of tetralogy of fallot in children. Methods 242 children who underwent radical resection of tetralogy of fallot in our hospital from January 2012 to December 2017 were selected.105 children with routine postoperative care management were set as the control group, and 137 children with routine postoperative care management +CCU nursing risk management were set as the observation group. The perioperative mechanical ventilation time, the length of stay in the intensive care unit, the number of times of evacuation and the length of stay in the hospital were compared between the two groups. The complications of postoperative low cardiac drainage syndrome, capillary osmotic syndrome, arrhythmia, atelectasis and death were compared. Compared the incidence of pressure sores,catheter shedding, falls, infections and other risk events between two groups. To evaluate the effect of CCU nursing risk management in pediatric tetralogy of fallot radical surgery. Results The observation group was significantly better than the control group in terms of mechanical ventilation time, duration of stay in the CCU, frequency of withdrawal and length of stay in the hospital, and the difference between twp groups was statistically significant(P<0.05). The total incidence of postoperative complications(67.2% vs. 81.9%) and the total incidence of adverse events(21.2% vs. 40.0%) in the observation group were lower than those in the control group, with statistically significant difference between the two groups(P<0.05). Conclusion Scientific and effective risk management of CCU nursing for children with tetralogy of fallot after operation can effectively avoid complications and adverse events,with significant curative effect and monitoring quality, which has high clinical application value.

关 键 词：CCU护理风险管理 小儿 法洛四联症根治术 监护质量 

分 类 号：R473.72[医药卫生—护理学]