危重患者护理访视追踪模式的构建及效果评价
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摘要
目的探索危重患者护理访视追踪模式的构建以及评价其临床效果。方法选取我院2017年1~12月治疗的危重患者60例,随机分成对照组和观察组,每组30例。在护理手段上,两组患者施以不同的对待,对照组实施危重患者护理常规,观察组实施危重患者上报护理访视追踪管理,并评价该模式对危重患者护理质量的影响。结果通过护理访视追踪,我们发现,相比较对照组的患者而言,观察组的危重患者护理质量平均得分、护理质量检查出现问题次数及患者对医护人员所施以的护理质量满意度都较优,且两组比较差异具有统计学意义(P<0.05);观察组不良事件发生率6.7%低于对照组26.7%(P<0.05)。结论在对待危重患者时,相比较一些简单和常规的护理,危重患者上报护理访视追踪模式在危重患者管理中的应用不仅提高了危重患者的护理质量,也提高了护理工作效率,同时有效确保危重患者生命安全,具有实用性,值得临床推广。
Objective To explore the construction and evaluation of follow-up mode of nursing care in critically ill patients. Methods Sixty patients treated in our hospital from January 2017 to December 2017 were selected. All 60 patients were in severe condition and were divided equally into two groups randomly, 30 patients in the control group and observation group. The control group implemented the routine care, and the observation group implemented the management of follow-up visits and the impact of this mode on the quality of care of critically ill patients were evaluated. Results Through follow-up mode of nursing care, the average score of nursing quality in the critical patients, the number of problems in the nursing quality examination and the satisfaction of the patients to the medical staff were much higher than those of the control group, and the difference was statistically significant(P < 0.05). The incidence of adverse events in the observation group was 6.7% and higher than that in the control group(26.7%), P < 0.05. Conclusion In the treatment of critically ill patients, compared with some simple and conventional nursing, the application of the follow-up model of critical patients to the management of critically ill patients not only improves the nursing quality of the critically ill patients, but also improves the efficiency of nursing, at the same time, it is effective to ensure the safety of the critically ill patients, which is practical and worthy of clinical practice.
Objective To explore the construction and evaluation of follow-up mode of nursing care in critically ill patients. Methods Sixty patients treated in our hospital from January 2017 to December 2017 were selected. All 60 patients were in severe condition and were divided equally into two groups randomly, 30 patients in the control group and observation group. The control group implemented the routine care, and the observation group implemented the management of follow-up visits and the impact of this mode on the quality of care of critically ill patients were evaluated. Results Through follow-up mode of nursing care, the average score of nursing quality in the critical patients, the number of problems in the nursing quality examination and the satisfaction of the patients to the medical staff were much higher than those of the control group, and the difference was statistically significant(P < 0.05). The incidence of adverse events in the observation group was 6.7% and higher than that in the control group(26.7%), P < 0.05. Conclusion In the treatment of critically ill patients, compared with some simple and conventional nursing, the application of the follow-up model of critical patients to the management of critically ill patients not only improves the nursing quality of the critically ill patients, but also improves the efficiency of nursing, at the same time, it is effective to ensure the safety of the critically ill patients, which is practical and worthy of clinical practice.
引文
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[2]刘建英等.个性化心理护理在护理慢性重型肝炎患者中的作用观察[J].西南军医,2014(5):579-580.
[3]焦德萍,个性化心理护理在急诊清创缝合术患者中的应用价值[J].中国药物经济学,2016(1):177-178.
[4]田昕.个性化心理护理对股骨近端骨肿瘤患者髋关节置换术后疗效及情绪的影响[J].中国肿瘤临床与康复,2016(7):877-879.
[5]董林.个性化心理护理对骨科围术期患儿的护理效果研究[J].全科护理,2017(18):2230-2232.
[6]王胜利,仙灵骨葆胶囊联合红外线理疗促进骨折愈合的临床观察[J].中国医药科学,2014(20):49-50,99.
[7]刘榕.内科重症监护病房护士对重症患者眼部护理相关知识认知现状的调查研究[J].中国卫生标准管理,2017,8(7):143-145.
[8]陈仕强.红外线对骨折术后切口愈合疗效观察[J].亚太传统医药,2017,13(3):134-136.
[9]潘爱红.危重患者访视追踪模式的构建及效果评价[J].护士进修杂志,2016,31(18):1661-1664.
[10]刘明秀,潘瑞红,姜广荣.危重患者的护理访视管理[J].护理学杂志,2014,29(3):53-55.
[11]王攀峰,张会芝,张越.ICU科护士长危重患者访视信息系统临床应用[J].中国护理管理,2014,14(9):978-980.
[12]邓君,邱波,朱世振.鹿瓜多肽联合红外线治疗四肢骨折的临床效果[J].中国医药导报,2015,12(36):32-35,39.
[13]杨玉群.红外线对四肢常见闭合性骨折术后切口愈合疗效的临床研究[J].吉林医学,2014,35(2):333-334.
[14]王艳.基于数字化胃肠音监测的危重患者急性胃肠损伤分级预测模型的建立[J].中华胃肠外科杂志,2017,20(1):34-39.