成人体外膜肺氧合患者标准化院内转运工作指示单的设计及应用研究  

Design and application of intra-hospital transport work instruction sheet for patients supported by extracorporeal membrane oxygenation

作　　者：褚君卿 林燕[1] 高春华[1] 任雅钰 张帅 李星杰 乔文博 CHU Junqing;LIN Yan;GAO Chunhua;REN Yayu;ZHANG Shuai;LI Xingjie;QIAO Wenbo(Nursing Department,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,310003,China)

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州市310003

出　　处：《中华急危重症护理杂志》2023年第12期1061-1067,共7页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省教育厅一般科研项目(Y202248778)。

摘　　要：目的设计成人体外膜肺氧合患者标准化院内转运工作指示单,并验证其应用效果。方法通过文献回顾、小组讨论、专家会议等方法设计成人体外膜肺氧合患者标准化院内转运工作指示单。采用便利抽样法,选取浙江省某三级甲等医院ICU病区2020年1月-12月收治的84例成人体外膜肺氧合院内转运患者为试验组,使用成人体外膜肺氧合患者标准化院内转运工作指示单;2018年1月-2019年12月收治的45例成人体外膜肺氧合院内转运患者为对照组,采用常规危重症患者转运流程。比较两组转运相关不良事件发生率、院内转运耗时的差异。结果试验组患者转运期间病情变化、技术性和移动问题相关不良事件发生率、转运耗时均显著低于对照组(P<0.01)。结论使用成人体外膜肺氧合患者标准化院内转运工作指示单可缩短院内转运时间,降低转运相关不良事件发生率,提高转运效率,保障转运安全。Objective Design an intra-hospital transport work instruction sheet for patients supported by extracorporeal membrane oxygenation(ECMO)and evaluate its effect in clinical practice.Methods The hospital transport work instruction sheet of adult ECMO patients was designed by literature review,group discussion,expert meeting and so on.From January to December 2020,84 adult ECMO in-hospital transport patients in ICU ward of a tertiary class A hospital in Zhejiang Province were selected as the experimental group,was used intra-hospital transpor work instruction sheet.From January 2018 to December 2019,45 adult patients with ECMO intra-hospital transport were selected as the control group,and routine transport care was adopted.The incidence of transport-related adverse events and duration of in-hospital transport were compared between the two groups.Results The incidence rate of adverse events related to condition change,technology and movement,and transport time in experimental group were lower than those in control group(P<0.01).Conclusion The use of intra-hospital transport work instruction sheet in adult ECMO patients can shorten the time of intra-hospital transport,reduce the incidence of transport-related adverse events,improve transport efficiency and ensure transport safety.

关 键 词：成年人 体外膜氧合 病人转送 组织和管理 危重病护理 

分 类 号：R473[医药卫生—护理学]