摘要
目的探讨护理干预应用于急诊危重患者转运中发挥的作用。方法选择2016年3月—2017年3月该院急诊转运的208例危重患者,根据处理方式的差异分别设置对照组104例,试验组104例,前者给予常规急诊转运处理,试验组在急诊转运中实施护理干预,对比两种处理方式的应用效果。结果试验组经护理干预,其转运意外及医疗纠纷发生率均为1.9%,均低于对照组的4.8%和7.7%(χ~2=7.84、16.82,P<0.05);试验组经护理干预,其家属满意率及科室满意率分别为93.3%和96.2%,均高于对照组的77.9%和82.7%(χ~2=4.73、5.01,P<0.05);经护理干预,试验组患者转运时间为(9.1±3.3)min,明显短于对照组的(13.9±4.3)min(t=4.85,P<0.05)。结论护理干预措施应用于急诊危重患者转运过程能够促进其转运意外发生率的降低,缩短转运耗时,同时改善患者家属及科室满意度,有效减少医疗纠纷,应用效果显著。
Objective To explore the role of nursing intervention in the transport of critically ill patients in emergency department.Methods A total of 208 critically ill patients were transferred from March 2016 to March 2017 in the emergency department.According to the difference of treatment methods,104 patients in the control group and 104 patients in the experimental group were given.The former was given routine emergency transport and the experimental group was transported in emergency department with nursing interventions,to compare the effects of the two treatments.Results The risk of transport accidents and medical disputes in the experimental group was 1.9%,lower than that of the control group of 4.8%and 7.7%(χ^2=7.84、16.82,P<0.05).After nursing intervention,family satisfaction rate and departmental satisfaction rate of the experimental group were 93.3%and 96.2%,respectively,which were higher than 77.9%and 82.7%of the control group(χ^2=4.73、5.01,P<0.05).After nursing intervention,the transit time of the experimental group was(9.1±3.3)min,significantly shorter than the control group(13.9±4.3)min(t=4.85,P<0.05).Conclusion Nursing interventions applied to critically ill patients in the emergency transport process can promote the reduction of the rate of transport accidents and shorten the transport time and improve the patient's family and department satisfaction,effectively reducing medical disputes,and the application effect is remarkable.
作者
路慧
LU Hui(Department of Emergency,People's Hospital of Leling City,Leling,Shandong Province,253600 China)
出处
《系统医学》
2019年第6期169-171,共3页
Systems Medicine
关键词
护理干预
急诊
危重患者
转运
Nursing intervention
Emergency department
Critically ill patients
Transport