摘要
目的:探讨应用护嘱指引对落实ICU护理措施的效果。方法2012年度收治的177例危重患者按照ICU传统护嘱制度执行护嘱,2013年度收治的183例危重患者试行护嘱指引,保证护理措施的落实。比较2012年度及2013年度在使用护嘱指引前后护理措施的落实情况、患者满意度及护士专科培训考核成绩。结果2012年度纳入177例患者,护理措施观察次数共3566例次,2013年度纳入183例患者,护理措施观察次数共3634例次。2013年度口腔护理不合格率为0.28%,低于2012年度的1.18%,差异有统计学意义(χ2=20.45,P=0.00);2013年度床头抬高不合格率为0.33%,低于2012年度的1.54%,差异有统计学意义(χ2=28.69,P=0.00);2013年度人工气道气囊测压落实率为99.56%,高于2012年的98.65%,差异有统计学意义(χ2=16.76, P =0.00)。2013年度患者满意度得分为(98.08±0.67)分,高于2012年度的(94.58±2.47)分,差异有统计学意义(t =4.91,P =0.00);2013年度护士专科培训考核成绩平均分为(89.33±9.64)分,高于2012年度的(82.17±4.04)分,差异有统计学意义( t=2.62,P=0.02)。结论在ICU使用护嘱及护嘱指引,可以有效提高ICU整体护理水平,同时又为各层级护士的专业培训与提高提供了多元化平台。
Objective To discuss the effect of the complete nursing order and guidelines on improving the nursing quality in ICU .Methods The nursing quality , patients ’ satisfaction and the hierarchical training examination scores before and after using the improved nursing order guidelines were compared , from 2012 to 2013 .Totals of 177 patients in 2012 were treated with conventional nursing order system , and 183 patients in 2013 were treated with the improved nursing order guidelines .Results In 2012, totals of 177 patients with 3 566 times nursing observation were included , and 183 patients, with 3 634 times nursing observation were included in 2013.In 2013, oral care failure rate was 0.28%, which was significantly lower than 1.18% in 2012, with a significant difference(χ2 =20.45, P=0.00).In 2013, the bed elevation unqualified rate was 0.33%, which was significantly lower than 1.54% in 2012, with a significant difference (χ2 =28.69,P=0.00).In 2013, the artificial airway ballonet pressure implementation rate was 99.56%,which was significantly higher than 98. 65%in 2012, with a significant difference (χ2 =16.76,P=0.00).In 2013, the patients’ satisfaction scores was (98.08 ±0.67), which was significantly higher than (94.58 ±2.47) in 2012, with a significant difference (t=4.91,P =0.00).The nurse training assessment scores was (89.33 ±9.64) in 2013, which was significantly higher than ( 82.17 ±4.04 ), with a significant difference ( t =2.62, P =0.02 ). Conclusions Nursing order guidelines applied in ICU bedside can promote the improvement of the nursing quality, ensure the safety of nursing care , and let patients receive continuous and homogeneous care .Improved nursing order guidelines not only effectively improve the whole nursing level of ICU , but also provide diversified platform for nurse training at all levels .
出处
《中华现代护理杂志》
2014年第20期2561-2564,共4页
Chinese Journal of Modern Nursing
基金
2010年深圳市科技计划项目(医疗卫生类)