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目的探索二级医院ICU患者院内延续性护理工作模式,为开展院内延续性护理提供依据。方法建立ICU患者院内延续性护理工作模式,将2014年8月至2015年7月由ICU转入普通病房的患者设为实验组,采用院内延续性护理模式护理;将2013年8月至2014年7月由ICU转入普通病房的患者作为对照组,采用一般护理模式护理。观察比较两组患者的并发症、不良事件发生率、48 h重返ICU率,患者在普通病房的住院治疗天数以及对护理的满意度。结果实验组患者的并发症、护理不良事件发生率及48 h重返ICU率均小于对照组(P<0.01);患者在普通病房平均住院天数短于对照组,患者满意度高于对照组,两组比较差异有统计学意义(P<0.01)。结论建立二级医院ICU患者院内延续性护理工作模式,可以减少ICU转出患者的并发症、护理不良事件发生率,降低48 h ICU重返率,缩短患者在普通病房的住院天数,提高患者对护理满意度,改善患者临床结局。
Objective To explore the continuous hospital nursing work pattern in patients with intensive care unit (ICU) in secondary hospital and provide the basis for continuous nursing in hospital. Methods The in-hospital continuity nursing work pattern was established in patients with ICU. The patients who transferred from the ICU to the general ward from August 2014 to July 2015 were selected as the experimental group and hospitalized with the continuous nursing model in the hospital. From August 2013 to 2014 In July, ICU transferred to general ward patients as a control group, using the general nursing model care. Comparisons were made between the two groups in terms of complication, incidence of adverse events, return to ICU at 48 h, hospitalization days in general wards, and satisfaction with care. Results The incidence of complications, nursing adverse events and return to ICU at 48 h in experimental group were significantly lower than those in control group (P <0.01). The average length of hospital stay in general ward was shorter than that in control group, and the patients’ satisfaction was higher than that in control group. The difference between the two groups was statistically significant (P <0.01). Conclusion The establishment of continuous hospital nursing care in ICU patients in secondary hospitals can reduce the incidence of ICU outpatient complications and nursing adverse events, decrease ICU re-entry rate at 48 hours, shorten the hospitalization days in general wards, Nursing satisfaction, improve patient clinical outcome.