摘要
目的 :分析基于危重症评分系统的多学科团队合作的心脏术后早期活动规范化流程的应用效果。方法 :组建心脏术后早期活动多学科团队、制定多学科团队合作的管理制度、制定心脏术后早期活动的规范化流程,培训并实施心脏术后早期活动规范化流程。结果 :实施心脏术后早期活动规范化流程后,患者气管插管时间、ICU停留时间和住院天数明显缩短(P<0.05),肺部感染发生例数和谵妄发生例数明显减少(P<0.05)。结论 :基于危重症评分系统的心脏术后早期活动规范化流程的实施能够有效减少患者并发症,规避护理风险,提高护士风险防控能力,保障住院患者安全,优化工作流程。
Objective： To explore the effect of the standardized procedure of early mobilization after cardiac surgeries on patients offered by multidisciplinary team cooperation through adoption of critical illness scoring system. Methods： A multidisciplinary team （MDT） of early mobilization after cardiac surgeries was established, together with the management system of the MDT and the standardized procedure of early mobilization basing on the critical illness scoring system which was introduced and taught to relevant staff by training. And finally the standardized procedure of early mobilization was implemented in practice as designed. Results： After the implementation of the standardization procedure of early mobilization after cardiac surgeries, the intubation time, ICU stay and hospitalization decreased significantly （P〈0.05）. Incidences of pulmonary infection and delirium both reduced significantly （P〈0.05）. Conclusion： Complications in patients and other nursing risks after cardiac surgeries could be reduced as well as the risk control ability be enhanced to ensure the safety of hospitalized patients through implementation of the standardized procedure of early mobilization after cardiac surgeries basing on the critical illness scoring system, which can also help optimize the work flow in clinical practice at the same time.
作者
段霞
龚美芳
陈蓓敏
施雁
张瑾
王毅
DUAN Xia;GONG Meifang;CHEN Beimin;SHI Yan;ZHANG Jin;WANG Yi(Department of Cardiac Surgery,The 10th People＇s Hospital of Tongji University,Shanghai,200072,China)
出处
《中国护理管理》
CSCD
北大核心
2018年第8期1009-1012,共4页
Chinese Nursing Management
基金
国家自然科学基金青年基金项目(71603183)
关键词
心脏术后患者
危重症
早期活动
多学科团队合作
patients after cardiac surgery
critical illness
early mobilization
multidisciplinary team cooperation
