成组闭环+AB角色管理模式在应急重症混编隔离护理单元的应用  

Application of group closed-loop nursing+AB role management mode in emergency intensive care unit

作　　者：罗紫照 袁素娥[2] 莫丹[1] 李好[1] 张丽辉 刘芬[1] 江梦婷 余婉懿 郑云鹏 王青霞[4] LUO Zi-zhao;YUAN Su-e;MO Dan;LI Hao;ZHANG Li-hui;LIU Fen;JIANG Meng-ting;YU Wan-yi;ZHENG Yun-peng;WANG Qing-xia(Department of Infectious Di-seases,Xiangya Hospital,Central South University,Changsha 410008,China;Nursing Department,Xiangya Hospital,Central South University,Changsha 410008,China;Respiratory Treatment Center,Xiangya Hospital,Central South University,Changsha 410008,China;Digestive Endoscopy Diagnosis and Treatment Center,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院感染病科,湖南长沙410008 [2]中南大学湘雅医院护理部,湖南长沙410008 [3]中南大学湘雅医院呼吸治疗中心,湖南长沙410008 [4]中南大学湘雅医院消化内镜中心,湖南长沙410008

出　　处：《中国感染控制杂志》2023年第11期1333-1339,共7页Chinese Journal of Infection Control

摘　　要：目的探索成组闭环+AB角色管理模式在应急重症隔离护理单元中的应用效果。方法选取2022年12月26日—2023年1月30日某院临时重症隔离病房65名护理人员为研究对象。将成组闭环护理+AB角色管理模式应用于新组建的应急重症护理单元,采用整群抽样方法进行护士满意度调查,评价干预效果。结果基于此模式管理下,护士工作整体满意度为92.60%,成组闭环护理模式及AB角色管理模式满意度均为96.30%。患者导尿管相关尿路感染(CAUTI)发病率为3.10‰,呼吸机相关肺炎(VAP)、血管导管相关血流感染(CLABSI)发病率均为0。结论成组闭环+AB角色管理模式在应急重症混编护理单元的应用,优化了护理管理流程,激发了团队凝聚力,提升了护士的主观能动性,预防医院感染发生,从而提高对急危重症患者的救治水平,促进患者安全。Objective To explore the application effect of group closed-loop nursing+AB role management mode on the emergency intensive care unit.Methods 65 nursing staff from a temporary intensive care unit of a hospital from December 26,2022 to January 30,2023 were selected as the research subjects.Group closed-loop nursing+AB role management mode was applied to the newly established emergency intensive care unit,nurses’satisfaction was surveyed with cluster sampling method,and intervention effect was valuated.Results Under this management mode,the overall satisfaction of nurses was 92.60%,the satisfaction rates of both group closed-loop nursing mode and AB role management mode were 96.30%.The incidence of catheter-associated urinary tract infection(CAUTI)in patients was 3.10‰,incidences of ventilator-associated pneumonia(VAP)and central line-associated bloodstream infection(CLABSI)were both 0.Conclusion The application of group closed-loop nursing+AB role ma-nagement mode in emergency intensive care unit optimizes the nursing management process,stimulates team’s cohesion,motivates nurses,prevents the occurrence of healthcare-associated infection,thus improves the treatment and safety of patients with acute and critical diseases.

关 键 词：成组闭环护理模式 AB角色管理模式 应急重症病房 护理应急队伍 

分 类 号：R197.323.4[医药卫生—卫生事业管理]