急性脑出血患者院内急救转运安全管理策略与护理质量控制  

Safety management strategies and nursing quality control of in-hospital emergency transfer for patients with acute cerebral hemorrhage

作　　者：夏梦雪 黄蓓蓓[1] 王成珍[1] 顾静[1] XIA Mengxue;HUANG Beibei;WANG Chengzhen;GU Jing(Department of Emergency,the Brain Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学附属脑科医院急诊科,江苏南京210029

出　　处：《实用临床医药杂志》2025年第8期119-121,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨急性脑出血患者院内急救转运安全管理策略和护理质量控制措施的效果。方法将100例急性脑出血患者,根据规范和措施实施时间分为对照组(实施前)和观察组(实施后),每组50例。比较2组患者的转运准备时间、不良事件发生率、转运人员配置、设备完备性、格拉斯哥昏迷量表(GCS)评分变化、住院时间。结果观察组转运准备时间为(15.2±3.5)min,短于对照组的(23.7±5.8)min,不良事件发生率为6.0%,低于对照组的22.0%;观察组转运人员配置完整者占比为100.0%,较对照组的68.0%更合理,设备完备率为98.0%,高于对照组的82.0%;GCS评分变化(0.5±0.3)分,小于对照组的(1.1±0.9)分;观察组住院时间(14.5±3.2)d,短于对照组的(18.3±4.1)d;以上指标比较,差异有统计学意义(P<0.05)。结论实施标准化的院内急救转运安全管理策略和护理质量控制措施,可提高急性脑出血患者的转运安全性,减少不良事件,改善近期预后。Objective To explore the effectiveness of safety management strategies and nursing quality control measures for in-hospital emergency transfers of patients with acute cerebral hemorrhage.Methods A total of 100 patients with acute cerebral hemorrhage were divided into control group(before implementation,n=50)and observation group(after implementation,n=50)based on the timing of implementation of the standard and measures.The preparation time for transfer,incidence of adverse events,personnel allocation for transfer,equipment completeness,changes in Glasgow Coma Scale(GCS)scores,and length of hospital stay were compared between the two groups.Results The preparation time for transfer in the observation group was shorter than that of the control group[(15.2±3.5)min versus(23.7±5.8)min,P<0.05];the incidence of adverse events was lower in the observation group than that in the control group(6.0%versus 22.0%,P<0.05);personnel allocation completeness rate was reasonable in the observation group compared to that in the control group(68.0%versus 100%,P<0.05);equipment completeness was higher in the observation group than that in the control group(98.0%versus 82.0%,P<0.05);GCS score was less in the observation group than that in the control group[(0.5±0.3)points versus(1.1±0.9)points,P<0.05];the length of hospital stay in the observation group was shorter than that in the control group[(14.5±3.2)days versus(18.3±4.1)days,P<0.05].Conclusion Implementing standardized in-hospital emergency transfer safety management strategies and nursing quality control measures can improve the safety of patient transfers,reduce occurrence of adverse events,and improve short-term prognosis for patients with acute cerebral hemorrhage.

关 键 词：急性脑出血 院内转运 安全管理 护理质量 质量控制 不良事件 标准化流程 格拉斯哥昏迷量表 

分 类 号：R472.2[医药卫生—急诊医学] R605[医药卫生—护理学] R459.7[医药卫生—临床医学]