摘要
目的基于目视管理方法，探讨重症监护病房使用床尾动态预警单的应用效果。方法自行设计ICU床尾动态预警单，用于实时记录、查看患者病情监护重点和注意事项，实施6个月后评价应用效果。结果实施后交班时出现交接不清、漏交、误交和累计缺陷交班发生率分别为7．64％（111144）、3．47％（5／144）、3．47％（5／144）和14．58％（21／144），低于实施前的21．53％（31／144）、12．50％（18／144）、9．72％（14／144）和43．75％（63／144），差异有统计学意义（r=4．564～29．647，均P〈0．05）；实施后护士对患者病情掌握程度得分为（91．17±3．96）分，高于实施前得分（85．53．-I-5．04）分，差异有统计学意义（拄一4．813，P〈0．01）；实施后医生对护士的满意度得分为（32．22±2．71）分，高于实施前得分（23．86±2．76）分，差异有统计学意义（t=-12．984，P〈0．01）；实施后患者家属对护士的满意度得分为（33．77±2．31）分，高于实施前的（25．42±4．43）分，差异有统计学意义（t=-18．326，P〈0．01）；护士对床尾动态预警单的使用体验良好。结论使用床尾动态预警单能及时提醒护士工作重点，增强其风险预警意识，强化科室信息沟通，有助于全面提升护理质量。
Objective The effects of dynamic prediction table in ICU were discussed based on the theory visualization management. Methods A self-designed dynamic prediction table of critical patients is used to record the monitoring points and precautions of patient＇s situation, and evaluating the application effect after 6 months. Results The incidence of unclear shift, missed shift, misplaced shift and accumulated defective shift of observation group was 7.64%（11/144）, 3.47% （5/144）, 3.47% （5/144） and 14.58%（21/144）, which was lower than 21.53%（31/144）, 12.50%（18/144）, 9.72% （14/144）and 43.75% （63/144） of control group（X^2=11.150, 7.986, 7.564, 29.647, P 〈 0.05）; nurses on the mastery condition of critically ill patients of observation group was （91.17±3.96）, which was higher than （27.83±3.66）of control group（t=-g.813, P 〈 0.01）; the satisfaction of doctors with nurses of observation group was （32.22±2.71）, which was higher than （23.86±2.76） of control group （t=-12.98, P〈0.01）; the satisfaction of family members of patients with nurses of observation group was （33.77±2.31）, which was higher than （25.42±4.43） of control group （t=-18.326, P 〈 0.01）; nurses have a good experience with the new methods. Conclusions Application of dynamic prediction table in ICU can promptly remind nurses work priorities, enhance their awareness of risk warning, strengthen the information communication of department and help to improve the quality of nursing care.
出处
《中国实用护理杂志》
2018年第2期131-136,共6页
Chinese Journal of Practical Nursing
基金
江西省卫生和计划生育委员会科技计划课题（20175574）
关键词
重症监护病房
预警护理
目视管理
Intensive care units
Early warning nursing
Visualization management
