改革排班方式对门脉高压性上消化道出血抢救成功率的影响

PAGESS The effect of reforming nursing shift scheduling on the successful rescue rate of upper gastrointestinal bleeding patients with portal hypertension

目的研究改革护士排班方式对门脉高压性上消化道出血抢救成功率的影响。方法改革传统排班方式,加强夜间护士力量,减少交接班次数,比较排班改革前、后4年中门脉高压性上消化道出血抢救成功率。结果在排班改革前、后上消化道出血止血治疗方法无特殊变化的情况下,出血抢救成功率由87.61%提高到94.30%,差异具有统计学意义(P<0.01)。结论合理利用人力资源,加强夜间护士力量,对提高门脉高压性上消化道出血抢救成功率具有重要的临床意义。

Objective To study the effect of reforming nursing shift scheduling on the successful rescue rate of upper gastrointestinal bleeding patients.Methods The method of traditional nursing shift scheduling was reformed to increase the number of nurses in the night shifts and reduce the times of shift delivery.Then the successful rescue rate of upper gastrointestinal bleeding patients was compared in the four years before and after the reform.(Results)Without any special changes in the method of therapy for upper gastrointestinal bleeding,the successful rescue rate of upper gastrointestinal bleeding increased from 87.61% to 94.30% after the reform((P<0.01)).(Conclusion Rationally) utilizing human nursing resources and increasing the number of nurses in night shifts have important value to improve the successful rescue rate of upper gastrointestinal bleeding in patients with portal hypertension.Author's address:Department of Gastroenterology,the General Hospital of PLA,Beijing 100853,China