急诊科护士与专科护士合作对危重症患者转运安全性的影响研究

Influence of the safety of the patients with critical diseases who were transported by the nurses of emergency department and in-patient department

目的 探讨急诊科护士联合病房专科护士对内科危重症患者转运安全性的影响.方法 入选2008年7月-2009年12月我院急诊科接诊的103例内科危重症患者,其中男78例,女25例,年龄41～88（60.61±10.18）岁,将患者随机分为两组：急诊科护士联合病房专科护士转运组（52例）及急诊护士单独转运组（51例）.联合转运方法内科住院部专科护士到急诊科与急诊医护人员一同完成患者院前评估、处理及转运前准备,并联合转运至病房;观测两组患者就诊至转运至病房的时间及严重事件（心跳呼吸骤停、阿斯综合征、急性左心衰竭、原有症状明显加重）的发生率.结果 联合转运组及单独转运组的转运时间分别为（23.76±5.88）分钟及（20.50±5.92）分钟,两组间比较,差异无显著性（P＞0.05）;联合转运组及单独转运组转运过程中严重事件的发生率分别为1.9%及7.8%,与单独转运组比较,联合转运组转运过程中严重事件发生率明显降低,两组间比较,差异有显著性（P＜0.05）.结论 与单独转运组比较,联合转运组能明显提高内科危重症患者院内转运到安全性,且并不明显延误诊治时间.

Objective To investigate Effect of the safety of the patients with critical diseases who were transported by the nurses of emergency department and the special nurses. Methods 103patients with critical diseases of emergency department were recruited for this study. The subjects were divided into two groups： association transportation group（52） and transported by the nurses of emergency department only group（51）. The patients in association transportation group were evaluated and prepared before transportation and transported by nurses of emergency department and in-patient department. The transportation time and serious events rates during transportation were examined in both groups. Results The transportation time of assoeiation transportation group and solo transportation group were （23.76 ±5.88） and （2050 ± 5.92）minutes respectively. The serious events rates during transportation of association transportation group and solo transportation group were 1.9% and 7.8% respectively. There were significant differences among the serious events rates but not among the transportation time between two groups. Conclusions The serious events rate during transportation were significantly decreased in association transportation group as compare with solo transportation group; what＇s more, it dosn＇t delay the time of diagnosis and treatment.