以4R危机理论为导向的护理在老年急诊输液患者中的应用效果  

Application effects of 4R crisis theory-oriented nursing in elderly emergency transfusion patients

作　　者：姜舒馨 邱丽英 JIANG Shuxin;QIU Liying(Emergency Department of Shandong Provincial First Invalids Hospital,Jinan 250000 Shandong,China)

机构地区：[1]山东省第一荣军优抚医院急诊科,山东济南250000

出　　处：《中国民康医学》2024年第19期178-180,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察以4R危机理论为导向的护理在老年急诊输液患者中的应用效果。方法:选取2020年10月至2021年10月该院收治的50例老年急诊输液患者为对照组,选取2021年11月至2022年10月该院收治的50例老年急诊输液患者为观察组。对照组实施常规护理,观察组实施以4R危机理论为导向的护理,比较两组护理质量评分、输液配合度、不良事件发生率和护理满意度。结果:观察组突发事件处理能力、沟通技巧、护理文书书写能力、服务水平、静脉穿刺熟练度等护理质量各项评分均高于对照组,差异有统计学意义(P<0.05);观察组输液配合度为98.00%(49/50),高于对照组的84.00%(42/50),差异有统计学意义(P<0.05);观察组输液中不良事件发生率为2.00%(1/50),低于对照组的16.00%(8/50),差异有统计学意义(P<0.05);两组拔针后不良事件发生率比较,差异无统计学意义(P>0.05);观察组护理满意度为100.00%(50/50),高于对照组的88.00%(44/50),差异有统计学意义(P<0.05)。结论:以4R危机理论为导向的护理应用于老年急诊输液患者可提高护理质量评分、输液配合度和护理满意度,降低输液中不良事件发生率,效果优于常规护理。Objective:To observe application effects of 4R crisis theory-oriented nursing in elderly emergency transfusion patients.Methods:A total of 50 elderly patients with emergency transfusion admitted to this hospital from October 2020 to October 2021 were selected as the control group,while 50 elderly patients with emergency transfusion from November 2021 to October 2022 were selected as the observation group.The control group was given routine nursing,while the observation group was given the 4R crisis theory-oriented nursing.The nursing quality score,the transfusion coordination,the incidence of adverse events,and the nursing satisfaction were compared between the two groups.Results:The scores of nursing quality such as emergency handling ability,communication skills,nursing document writing ability,service level and venipuncture proficiency in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The transfusion coordination degree of the observation group was 98.00%(49/50),which was higher than 84.00%(42/50)of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse events during transfusion in the observation group was 2.00%(1/50),which was lower than 16.00%(8/50)in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse events between the two groups after needle withdrawal(P>0.05).The nursing satisfaction of the observation group was 100.00%(50/50),which was higher than 88.00%(44/50)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The 4R crisis theory-oriented nursing in the elderly emergency transfusion patients can improve the nursing quality scores,the transfusion coordination and the nursing satisfaction,and reduce the incidence of adverse events during transfusion.Moreover,it is superior to the routine nursing.

关 键 词：4R危机理论 护理 急诊输液 老年 不良事件 护理质量 护理满意度 

分 类 号：R473[医药卫生—护理学]