摘要
目的 探讨全程优质护理干预在致命性出血患者救治中的应用效果。方法 以2018年1月至2020年1月湖南省人民医院致命性出血的196例患者为对照组,2020年2月至2022年2月致命性出血的200例患者为观察组。对照组实施传统的护理干预,观察组实施基于MEWS评分、SBAR交接模式、医护同组责任制管理等的全程优质护理干预。比较两组患者的并发症发生率、病死率、入住ICU总时长、医疗护理服务质量(包括护理不良事件发生率和患者护理满意度)。结果 观察组的并发症发生率、致死率、不良事件发生率以及入住ICU总时长均低于对照组(P<0.05)。患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 实施基于MEWS评分、SBAR交接模式、医护同组责任制管理等的全程优质护理干预能显著提高致命性出血患者救治成功率,降低其不良事件的发生率,改善愈后,提升患者对护理工作的满意度。
Objective To discuss the application of whole-process high-quality nursing intervention in patients with fatal bleeding.Methods A total of 196 patients with fatal bleeding,who were treated at the Hunan Provincial People′s Hospital of China from January 2018 to January 2020,were collected as the control group,and other 200 patients with fatal bleeding,who were treated at the Hunan Provincial People′s Hospital of China from February 2020 to February 2022,were collected as the observation group.The patients of control group received traditional nursing intervention,while the patients of observation group received whole-process high-quality nursing intervention,which was established on the basis of MEWS scoring,SBAR handover mode,and medical-nursing group responsibility system management.The incidence of complication,mortality,total length of ICU stay,quality of medical care service(including incidence of adverse nursing events and patient satisfaction with nursing care)were compared between the two groups.Results The incidence of complications,mortality,incidence of adverse events in the observation group were lower than those in the control group(all P<0.05),and the total length of ICU stay in the observation group was shorter than that in the control group(P<0.05).The patient satisfaction with nursing care in the observation group was higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The implementation of whole-process high-quality nursing intervention,which is established on the basis of MEWS scoring,SBAR handover mode,and medical-nursing group responsibility system management,can significantly improve the success rate of treatment for patients with fatal bleeding,reduce the incidence of adverse events,improve the prognosis and the patient satisfaction with nursing work.
作者
胡琴
向华
吴丹
HU Qin;XIANG Hua;WU Dan(Hunan Provincial People's Hospital(First Affiliated Hospital of Hunan Normal University),Changsha,Hunan Province 410002,China)
出处
《介入放射学杂志》
CSCD
北大核心
2024年第9期1019-1022,共4页
Journal of Interventional Radiology
基金
湖南省卫生健康委卫生科研课题项目(D202314026890)。
关键词
MEWS评分
SBAR模式
医护同组责任制管理
致命性出血
全程优质护理
MEWS score
SBAR mode
medical-nursing group responsibility system management
fatal bleeding
whole-process high-quality nursing care
