集束化干预措施在急诊外科急危重症患者院内转运中的效果研究  

Effect of cluster intervention in hospital transport of critical patients in emergency surgery

作　　者：李慧[1] 邓晰明[2] 张飞鹏[3] 孟丹 LI Hui;DENG Xi-ming;ZHANG Fei-peng;MENG Dan(Emergency Surgery,Bozhou People's Hospital,Bozhou,Anhui 236800,China)

机构地区：[1]亳州市人民医院急诊外科,安徽亳州236800 [2]蚌埠医学院第一附属医院重症医学科,安徽蚌埠233004 [3]亳州市人民医院重症监护室

出　　处：《中华全科医学》2020年第8期1414-1416,1424,共4页Chinese Journal of General Practice

基　　金：安徽省高等学校人文社会科学重点项目(SK2018A0182)。

摘　　要：目的探讨集束化干预措施在急诊外科危重症患者院内转运中的应用效果。方法选取2017年6月—2018年5月急诊外科就诊的100例院内转运急危重症患者作为对照组,采用常规护理措施;将2018年6月—2019年5月急诊外科就诊的100例院内转运急危重症患者作为观察组,采用集束化干预护理措施。统计分析2组患者转运期间不良事件发生率、平均转运时间、患者/家属及接收科室医护人员的满意度、病情变化和转运成功率。结果对照组不良事件发生率(18.0%)高于观察组(7.0%),差异有统计学意义(P<0.05);对照组平均转运时间为(14.57±2.16)min,高于观察组的(10.12±1.88)min,差异有统计学意义(P<0.05);对照组医护、患者/家属满意度分别为(6.23±1.48)分、(6.03±1.45)分,低于观察组的(7.08±1.35)分、(7.35±1.36)分,差异有统计学意义(均P<0.05);对照组病情变化发生率(23.0%)高于观察组(6.0%),对照组转运成功率(79.0%)低于观察组(93.0%),差异有统计学意义(均P<0.05)。结论集束化干预措施能够降低急诊外科急危重症患者院内转运不良事件的发生,缩短转运时间,减少患者在转运过程中的病情变化,提高医患满意度和转运成功率。Objective To explore the effect of cluster intervention on in-hospital transport of critical patients in emergency department.Methods A total of 100 patients who were admitted to the emergency department from June 2017 to May 2018 were selected as the control group,and the routine nursing measures were adopted.As an observation group,100 critically ill patients transported to the hospital from June 2018 to May 2019 were treated with cluster intervention.Statistical analysis of the incidence of adverse events,average transfer time,patient/family,the satisfaction of medical staff in receiving department,the change of patients,condition and the success rate were performed during the two groups of paients.Results The incidence of adverse events in the control group was 18.0%,higher than the observation group's 7.0%,and the difference was statistically significant(P<0.05).The average transit time in the control group was(14.57±2.16)min higher than(10.12±1.88)min in the observation group.The difference was statistically signifi-cant(P<0.05).The Satisfaction score of doctors,patients/families in the control group were 6.23±1.48,6.03±1.45,which were lower than the observation group's 7.08±1.35,7.35±1.36,the difference was statistically significant(all P<0.05).The incidence of change in condition in the control group was 23.0%higher than that in the observation group's 6.0%;the transfer success rate in the control group was 79.0%lower than the observation group's 93.0%,and the difference was statistically significant(all P<0.05).Conclusion Clustering interventions can reduce the incidence of adverse transport events in hospitals for critically ill patients from department of emergency surgery,shorten the transport time,reduce the incidence of disease changes in patients during the transport process,and improve the satisfaction level of doctors and patients and the success rate of transport.

关 键 词：集束化干预措施 急危重症患者 院内转运 

分 类 号：R197.323.2[医药卫生—卫生事业管理] R459.7[医药卫生—公共卫生与预防医学]