摘要
目的为了检验集束化管理策略在ICU患者院内转运的效果，确保ICU患者转运的安全性。方法选择2016年2月至2017年11月入住哈尔滨医科大学附属肿瘤医院ICU患者351例为研究对象，其中2016年2-12月入住的182例患者为对照组，2017年1-11月入住的169例患者为试验组。对照组患者实施常规传统转运管理措施，试验组患者采用集束化管理策略进行转运。观察比较2组患者院内转运不良事件发生率。结果试验组接受集束化管理策略干预的ICU院内转运患者不良事件（与病情相关、与转运人员相关、信息沟通不良、管道移位、动静脉置管脱出、监护仪导联松脱、监护仪微泵电源不足、与仪器设备相关）发生率分别为15.38%（26/169）、9.47%（16/169）、3.55%（6/169）、2.96%（5/169）、2.37%（4/169）、2.37%（4/169）、2.96%（5/169）、5.92%（10/169），显著低于对照组患者的29.12%（53/182）、26.92%（49/182）、10.44%（19/182）、7.69%（14/182）、7.14%（13/182）、7.69%（14/182）、11.54%（21/182）、20.33%（37/182），差异有统计学意义（χ^2=3.835~17.695，P〈0.01或0.05）。结论集束化管理策略可以提高ICU患者院内转运安全，建议临床广泛推广。
ObjectiveTo test the effect of the cluster management strategy in the hospital of ICU patients, in order to ensure the safety of the transhipment of the ICU patients.MethodsFrom February 2016 to November 2017, 351 cases of ICU patients in a three class first class cancer hospital were selected as the subjects, including 182 cases in the control group from February 2016 to December 2016 and 169 cases in the experimental group from January 2017 to November 2017. The patients in the control group carried out conventional traditional transport management measures, and the patients in the experimental group were transported by cluster management strategy. The incidence of adverse events in the hospital transhipment was observed and compared.ResultsThe test group received the cluster management strategy intervention ICU hospital transport of patients with adverse events （associated with disease, correlation, and transfer of personnel information, poor communication pipeline displacement, arteriovenous catheter prolapse, monitor lead loose, monitor micro pump power supply, and related equipment） rates were 15.38% （26/169）, 9.47% （16/169）, 3.55% （6/169）, 2.96% （5/169）, 2.37% （4/169）, 2.37% （4/169）, 2.96% （5/169）, 5.92% （10/169）, significantly lower than the control group were 29.12% （53/182）, 26.92% （49/182）, 10.44% （19/182）, 7.69% （14/182）, 7.14% （13/182）, 7.69% （14/182）, 11.54% （21/182）, 20.33% （37/182）, the difference was statistically significant （χ2=3.835-17.695, P〈0.01 or 0.05）.ConclusionCluster management strategy can improve the safety of ICU patients in hospital transport, and suggest extensive clinical promotion.
作者
徐丽群
李惠艳
韩玉香
Xu Liqun;Li Huiyan;Han Yuxiang(Nursing Department of Harbin Medical University Cancer Hospital, Harbin 150081, China)
出处
《中国实用护理杂志》
2018年第15期1154-1159,共6页
Chinese Journal of Practical Nursing
关键词
重症监护病房
集束化管理
院内转运
安全护理
Intensive care units
Cluster management
Hospital transport
Safety care
作者简介
通信作者：李惠艳，Email：hlb86298123@163.com
