摘要
目的观察多管道安全管理对冠状动脉旁路移植术患者术后并发症的影响。方法选取2014年6月-2015年6月医院收治的冠心病患者124例,根据患者入院时间分为观察组(2015年1月-2015年6月)及对照组(2014年6月-2014年12月)各62例,对照组实施常规性管道护理,观察组实施多管道安全管理,比较2组患者管道意外事件及并发症发生情况。结果观察组非计划性拔管、导管堵塞、打折、滑脱、连接错误及导管扭曲/缠绕发生率均低于对照组,差异均有统计学意义(P<0.05),观察组导管管理知识知晓率、导管更换时间延迟及满意率均高于对照组,医患纠纷及并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论多管道安全管理能有效降低冠心病冠状动脉旁路移植患者术后导管意外事件发生风险及医患矛盾,提高患者满意度,是多管道安全护理持续质量改进的有效方法。
Objective To investigate the effect of multi-channel safety management on postoperative complications in patients undergoing coronary artery bypass grafting.Methods 124 patients with coronary heart disease admitted to the hospital from June 2014 to June 2015 were selected.According to the patient′s admission time,they were divided into observation group(from January 2015 to June 2015) and control group(from June 2014 to December 2014),each of 62 cases.Control group implemented routine pipeline nursing,and observation group implemented multi′pipe safety management.The pipeline accidents and complications were compared between two groups.Results The unplanned extubation,catheter blockage,discount,slippage,connection error and catheter distortion/winding rate in observation group were lower than control group,and the difference was statistically significant(P<0.05).The catheter management knowledge awareness rate,catheter replacement time delay and satisfaction rate were higher in observation group than in control group,the incidence of doctor-patient disputes and complications was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion Safety management of multi pipe can effectively reduce accident risk after catheter in patients with coronary heart disease and the contradiction between doctors and patients of coronary artery bypass grafting,improve patient satisfaction,safety nursing is an effective method for multi pipeline continuous quality improvement.
作者
阳君蓉
YANG Junrong(Deyang People's Hospital,Sichuan Province,Deyang 618000,China)
出处
《临床合理用药杂志》
2019年第4期7-8,10,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
多管道安全管理
冠心病
冠状动脉旁路移植术
并发症
Multi pipeline safety management
Coronary heart disease
Coronary artery bypass grafting
Complication
