急诊危重患者院内转运过程中生命体征的聚类分析  

Cluster analysis of vital signs of critical patients in emergency department during intra-hospital transport

作　　者：马春蓉[1] 高红香[2] 王国艳 安莹[1] Ma Chunrong;Gao Hongxiang;Wang Guoyan;An Ying(Nursing Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Emergency Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院护理部,北京100730 [2]首都医科大学附属北京同仁医院急诊科,北京100730

出　　处：《中华现代护理杂志》2023年第36期4972-4975,共4页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRI2021035);北京同仁医院科研种子基金(2019-YJJ-ZZL-047)。

摘　　要：目的基于聚类分析探索经历院内转运的急诊危重患者的分类方法,并分析不同类别间生命体征的变化规律,为针对性护理干预提供参考。方法采用便利抽样法,选取2021年1—12月首都医科大学附属北京同仁医院2个院区由急诊科转运至院内ICU的416例危重患者为研究对象,收集其一般资料及转运前后生命体征资料,将转运前最后1次测量所得的体温、心率、呼吸频率、收缩压、外周毛细血管血氧饱和度5项生命体征资料作为聚类变量,基于二阶聚类分析方法将患者分类,并进行不同类别间患者的比较。结果可将本研究纳入的416例患者分为平稳组、低血氧饱和度组和高心率组3个类别,聚类轮廓系数为0.30,3组患者转运前后收缩压比较,差异均有统计学意义(均P<0.05),且低血氧饱和度组和高心率组患者的呼吸频率比较,差异均有统计学意义(均P<0.05)。结论对院内转运的危重患者进行生命体征监测具有重要意义,对患者进行分类管理可以更好地指导临床实践转运工作。Objective To explore a classification method for critically ill emergency patients undergoing intra-hospital transport based on cluster analysis,and analyze the changes in vital signs between different categories,so as to provide references for targeted nursing interventions.Methods Using the convenient sampling method,a total of 416 critically ill patients who were transferred from emergency department to ICU in 2 hospital areas of Beijing Tongren Hospital,Capital Medical University from January to December 2021 were selected as the research objects.General data and vital signs before and after transport were collected.Five vital signs,including body temperature,heart rate,respiratory rate,systolic blood pressure and peripheral capillary blood oxygen saturation measured at the last time before transport,were taken as cluster variables.Patients were classified based on second-order cluster analysis and compared among different categories.Results The 416 patients included in this study could be divided into 3 categories,such as stable group,low oxygen saturation group and high heart rate group,and the clustering contour coefficient was 0.30.The systolic blood pressure before and after transport of the three groups were compared,and the differences were statistically significant(all P<0.05).Moreover,there was a statistically significant difference in respiratory frequency between the low oxygen saturation group and the high heart rate group(both P<0.05).Conclusions It was of great significance to monitor the vital signs of the critically ill patients transferred in the hospital,and the classified management of patients can better guide the clinical practice of transportation.

关 键 词：急诊科 危重患者 院内转运 聚类分析 

分 类 号：R473[医药卫生—护理学]