护理标识牌对麻醉恢复室不良事件的预防效果分析  

Analysis of the effect of nursing signboard on the prevention of adverse events in PACU

作　　者：张伟丽 张昌盛[2] 路晓霞[2] 韩燕敏[2] 邓曼丽[2] 高远[3] ZHANG Weili;ZHANG Changsheng;LU Xiaoxia;HAN Yanmin;DENG Manli;GAO Yuan(Graduate School of PLA Medical College;Department of Anesthesiology,The First Medical Center,Chinese PLA General Hospital;Department of Nursing,The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军医学院研究生院 [2]解放军总医院第一医学中心麻醉科 [3]解放军总医院第一医学中心护理部,北京100853

出　　处：《麻醉安全与质控》2024年第4期211-214,共4页Perioperative Safety and Quality Assurance

摘　　要：目的根据临床需求自制护理标识牌,并探讨其对麻醉恢复室(PACU)不良事件的预防效果。方法选取2018-02/2019-05期间解放军总医院第一医学中心PACU收治的全身麻醉手术患者600例为研究对象,采用随机数字表法将患者分为对照组(n=300)和试验组(n=300),对照组给予常规护理流程,试验组在对照组基础上使用护理标识牌用于医护交接班及PACU护理工作中。观察2组患者液体外渗、苏醒延迟、非计划性拔除气管导管、非计划性拔除动脉置管等不良事件发生率,采用护理质量调查问卷对PACU护士进行评价,包括对管道管理、患者安全管理、交接班内容完整性、沟通交流和转运管理5个维度;用护理满意度调查量表对护士工作满意度进行调查。结果试验组患者较对照组患者术后不良事件发生率降低,差异有统计学意义(P<0.05)。试验组使用护理标识牌后护理质量各难度评分较对照组有所提高,差异有统计学意义(P<0.05)。结论护理标识牌应用于PACU护理中能有效降低不良事件的发生率,提高了护理质量,适宜在临床推广应用。Objective To design nursing signboard according to clinical needs and explore its effect on preventing adverse events in post-anesthesia care unit(PACU).Methods A total of 600 PACU patients in the First Medical Center of Chinese PLA General Hospital from February 2018 to May 2019 were selected and divided into two groups,the control group(n=300)and the experimental group(n=300),according to random number table method.The control group was given routine nursing procedure,and the experimental group used nursing signboard in the process of nursing shift and PACU nursing.The incidences of adverse events,such as liquid extravasation,delayed awakening,unplanned tracheal extubation and unplanned arterial catheterization,were observed in both groups.Nursing quality questionnaire was used to evaluate the performance of nurses,including five dimensions,pipeline management,patient safety management,integrity of shift content,communication and transfer management.The nursing satisfaction survey scale was used to investigate nurses job satisfaction.Results Compared with the control group,the adoption of nursing signboard in PACU in the experimental group could reduce the incidence of adverse events and improve nurses satisfaction,which was statistically significance(P<0.05).Conclusion The application of nursing signboard in PACU can effectively reduce the incidence of adverse events and improve the quality of nursing,which is worthy of clinical application.

关 键 词：护理标识牌 麻醉恢复室 不良事件 

分 类 号：R473.6[医药卫生—护理学]