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目的探讨护理分级及标识管理应用于ICU护理管理中的效果,为临床应用提供参考依据。方法选取该院2016年1—12月所收治ICU患者130例,随机分为研究组和对照组。研究组65例,采用重症监护患者护理分级方法及标识管理;对照组65例,仅给予ICU常规护理管理内容。比较两组患者护理不良事件发生情况,并记录两组患者及家属护理满意度。结果研究组加用护理分级及标识管理后,褥疮、非计划性拔管、呼吸机相关性肺炎、卧位不正确及导管相关性感染等护理不良事件发生情况均有显著改善;其中,研究组呼吸机相关性肺炎发生率为3.08%、卧位不正确发生率为9.23%,均显著低于对照组的15.38%及26.15%,差异有统计学意义(χ~2=4.499、5.282,P<0.05)。研究组65例患者中,满意者36例、良好者21例,其护理满意度为86.15%;显著优于对照组的21例、25例及70.77%,差异有统计学意义(P<0.05)。结论护理分级及标识管理应用于ICU护理管理工作中,可有效提升护理工作质量,减少护理不良事件发生,有利于拉近护患关系,提高护理满意度,值得临床推广应用。
Objective To explore the effect of nursing grading and marking management applied in ICU nursing management and provide reference for clinical application. Methods A total of 130 ICU patients admitted to our hospital from January to December in 2016 were randomly divided into study group and control group. The study group consisted of 65 patients with intensive care patient care classification and identification management. The control group of 65 patients were given ICU routine care management only. The occurrence of nursing adverse events in two groups were compared, and the satisfaction of nursing care between two groups of patients and their families was recorded. Results In the study group, nursing care and classification management were significantly improved after bedsore, unplanned extubation, ventilator-associated pneumonia, incorrect lying position and catheter-related infections. Among them, the study group The incidence of ventilator-associated pneumonia was 3.08% and the incorrect position was 9.23%, which were all significantly lower than 15.38% and 26.15% in the control group (χ ~ 2 = 4.499,5.282, P < 0.05). Among the 65 patients in the study group, 36 were satisfied, 21 were good, and their nursing satisfaction was 86.15%, significantly higher than those in the control group (21 cases, 25 cases and 70.77%, P <0.05) . Conclusion The application of nursing grading and marking management in ICU nursing management can effectively improve the quality of nursing work and reduce the occurrence of nursing adverse events, which is beneficial to narrowing the relationship between nurses and nurses and improving nursing satisfaction, which is worthy of clinical application.