摘要
目的:探讨入住ICU的高龄骨科患者持续桡动脉压力监测"集束化护理"对其穿刺置管成功率及并发症的预防护理措施。方法:随机选择患者,设立对照组,观察实施此护理方法前、后动脉穿刺置管成功率、并发症发生情况等指标的变化。结果:以上各指标经对照研究,"集束化护理"组桡动脉穿刺置管成功率高于对照组(P<0.05),置管后并发症发生率也较对照组显著下降(P<0.01)。结论:①"集束化护理"是一种有效的危重患者临床护理方法,同时也是危重症护理质量管理理念的一种体现;②"集束化护理"能够提高高龄骨科患者桡动脉置管的成功率及降低置管后并发症的发生,有利于观察患者病情;③"集束化护理"有益于保护医、患双方,切实将人文管理融入到危重患者的护理之中。
Objective：To observe effect of cluster based care on old osteology patient with continued radial artery pressure monitoring and role of catheterization complications. Method：Patients were randomly divided into control group and treatment group. Artery catheterization success rate and complications were compared between the control group and cluster based care group. Result：The artery catheterization success rate was higher（P0.05） in treatment group. While the incidence of catheter complications was significantly lower in treatment group（P0.01） . Conclusion：①Cluster-based care is an effective method of clinical care of critically ill patients,but also a reflection of the quality management philosophy. ②＂Cluster-based care＂ can improve the success rate and decrease complications of catheterization in old osteology patients. ③ Cluster-based care benefits for bothe patients and doctors.
出处
《临床急诊杂志》
CAS
2011年第4期256-258,共3页
Journal of Clinical Emergency
关键词
骨科
桡动脉置管
护理
cluster based care
advanced age department of osteology patient
radial arterial cannulation
