细化护士分工在心脏外科心跳骤停患者抢救配合中的应用

Application of refining nurses division in the rescuing of cardiac arrest patients in department of cardiac surgery

目的细化护士分工，规范心脏外科心跳骤停患者抢救时护士的配合。方法自2009年8月，自行设计心跳骤停抢救配合情况调查表进行跟踪调查。2010年8月开始总结分析并细化护士分工。对细化护士分工前后抢救成功率、护理记录书写时间、整理时间进行调查，调查结果使用SPSS10．0软件进行统计学分析。结果2009年8月至2010年8月与2010年8月至2011年8月比较，抢救成功率提高16．7％。抢救记录书写时间由（64．2±5．3）min缩短到（17．8±2．8）min，整理时间由原来的（104．5±6．1）min缩短到（35．1±4．2）min，差异均有统计学意义（t值分别为32．8，39．2；P〈0．01）。结论根据专科特色，定期总结抢救经验，细化护士分工，有利于规范急救护理管理，提高抢救成功率，同时确保抢救记录客观真实，提高护士工作效率。

Objective To improve the division of nurses and specify the cooperation between nurses when rescuing a cardiac arrest patient in cardiac surgery department. Methods From August 2009, selfdesigned questionnaire was used to collected the information about experience of cooperation between nurses when rescuing a cardiac arrest patient. In August 2010 ,after summered and analyzed the information,the nurses division was refined. Then, the successful rate of rescue, the time for writing records and cleaning up time were observed before and after refined the nurses division. Results After refined the nurses division, the rate of successful rescue was improved from 50.0% to 66.7%. The time of writing was shorted from （64.2 ±5.3） minutes to （17.8 ± 2.8 ） minutes, the time of cleaning was decreased from （104.5 ± 6.1 ） minutes to （35.1 ± 4.2） minutes,and the differences were statistically siguificant（t =32.8,39.2;P〈0.01）. Conclusions Making summary periodically according to the characteristic of specialized department to improve the division of nurses is an effective way to standardize the rescue management and improve the successful ratio, ensure the objectivity of medical records, and enhance the efficiency of nurses＇ work.