护士主导的诊断性失血管理方案在特重度烧伤患者中的应用  

Construction and application of a nurse-led diagnostic blood loss management scheme for patients with extremely severe burns

作　　者：梁江淑渊 曾妃[1] 封秀琴[2] LIANG Jiangshuyuan;ZENG Fei;FENG Xiuqin

机构地区：[1]浙江大学医学院附属第二医院综合ICU,杭州市310000 [2]浙江大学医学院附属第二医院护理部,杭州市310000

出　　处：《中华护理杂志》2021年第3期360-363,共4页Chinese Journal of Nursing

基　　金：浙江省卫生健康重大科技计划重点项目(WKJ-ZJ-2123)。

摘　　要：目的构建护士主导的诊断性失血管理方案并应用于特重度烧伤患者,以降低其诊断性失血量。方法成立多学科协作团队,构建护士主导的诊断性失血管理方案,对2020年6月14日收治的15例成批特重度烧伤患者进行干预,并评价其效果。结果干预前,每例预计诊断性失血量为(37.45±8.17) ml/d,干预后,每例实际诊断性失血量为(18.16±6.35) ml/d,两组比较,差异具有统计学意义(t=102.215,P<0.001)。结论护士主导的诊断性失血管理方案能够有效降低特重度烧伤患者的诊断性失血量。Objective To construct a nurse-led diagnostic blood loss management plan,so as to reduce the diagnostic blood loss in patients with extremely severe burns. Methods A multidisciplinary team was established to form a nurse-led diagnostic blood loss management scheme which was conducted to intervene in a batch of 15 patients with extremely severe burns admitted on June 14,2020,and we evaluated the effect of the intervention.Results The predicted diagnostic blood loss before intervention was(37.45±8.17) ml,and the actual diagnostic blood loss after intervention was(18.16±6.35) ml,with statistical differences(t=102.215,P<0.001). Conclusion The nurseled diagnostic blood loss management scheme can effectively reduce the amount of diagnostic blood loss in patients with extremely severe burns.

关 键 词：烧伤 诊断性失血 重症监护病房 护士主导 

分 类 号：R473.6[医药卫生—护理学]