基于循证理论与“知识-行动”模型的电子护理交接单在ICU患者中的应用  

Effects of electronic care delivery sheet based on evidence and knowledge-to-action model among ICU patients

作　　者：韩月玲[1] 崔嬿嬿 孙蔚[3] 陈艳萍[1] 杨利[1] Han yueling;Cui Yanyan;Sun Wei;Chen yanping;Yang Li(General ICU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;ICU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Operating Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院综合ICU,450052 [2]郑州大学第一附属医院重症医学部,450052 [3]郑州大学第一附属医院手术部,450052

出　　处：《中华现代护理杂志》2020年第11期1482-1485,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于知识-行动(KTA)框架和循证的电子护理交接单在ICU患者中的应用。方法采用便利抽样法,选取2018年6月—2019年5月郑州大学第一附属医院的122例ICU患者为研究对象。在KTA框架的指导下,设计基于ISBAR沟通标准工具的电子化护理交接单。将122例ICU患者分为对照组(n=62)和干预组(n=60),对照组采取传统交接形式,干预组采用电子护理交接单,比较两组责任护士交接班质量和满意度。结果干预组患者交接时间为(2.78±1.12)min,对照组为(6.52±1.45)min,两组比较差异有统计学意义(P<0.05);干预组交接班漏项发生率3.33%(2/60),护理风险事件发生率为0,均低于对照组,两组比较差异均有统计学意义(P<0.05)。干预组患者的护理交接班质量总分(69.75±12.86)分,对照组为(58.68±9.87)分,两组比较差异有统计学意义(P<0.05)。结论基于“知识到行动”框架和循证的电子护理交接单应用于ICU患者,可改善护理交接质量,提高护理质量,值得临床推广。Objective To explore the effects of knowledge-to-action(KTA)frame and evidencebased electronic care delivery sheet among ICU patients.Methods A total of 122 ICU patients from the First Affiliated Hospital of Zhengzhou University from June 2018 to May 2019 were selected as the research subjects by convenient sampling.Under the guidance of KTA frame,this study designed the electronic care delivery sheet based on identification-situation-background-assessment-recommendation(ISBAR)standard communication tool.A total of 122 ICU patients were divided into control group(n=62)and intervention group(n=60).Control group carried out the routine delivery form,while intervention group applied the electronic care delivery sheet.We compared the delivery quality of charge nurses between two groups.Results The delivery time of patients between intervention group and control group was(2.78±1.12)min and(6.52±1.45)min respectively with a statistical difference(P<0.05).The incidences of delivery omitted item and nursing risk event in intervention group were 3.33%(2/60)and 0 respectively lower than those in control group with a statistical difference(P<0.05).The total scores of care delivery of patients in intervention group was(69.75±12.86),and control group was and(58.68±9.87),there was a statistical difference(P<0.05).Conclusions The electronic care delivery sheet based on KTA frame and evidence for ICU patients can improve the care delivery quality and nursing quality which is worthy of clinical generalization.

关 键 词：重症监护病房 知识到行动 电子护理交接单 

分 类 号：R473[医药卫生—护理学]