儿科重症监护过渡期护理模式的应用分析

Application of the Transitional Care Model in pediatric intensive care

目的:探讨实施过渡期护理模式对儿科重症监护患儿转入普通病房后的影响。方法:选取2012年5月至2013年5月在我院PICU治疗后转入普通病房的患儿80例作为观察组,采用过渡期护理模式;选取2011年5月至2012年5月自PICU转入普通病房的患儿80例未实施过渡期护理的患儿作为对照组,观察两组患者不良事件发生情况、重返PICU率、出现心理紊乱综合征情况、患儿及家属的满意度,并进行统计学分析。结果:实施过渡期护理模式的患儿,护理不良事件、重返ICU率、心理紊乱综合征发生率均低于对照组(P<0.05),患儿及家属的满意度高于对照组(P<0.05)。结论:对转入普通病房的患儿实施过渡期护理模式管理,保持了护理工作的连续性和有效性,降低了各种不良事件的发生率、患儿重返PICU率和心理紊乱综合征的发生率,促进了患儿的康复,也提高了护理工作质量。

Objective： To investigate the impact of implementing the transitional care model for children who transferred to a general ward from Pediatric Intensive Care Unit（PICU）. Methods： Eighty children who did not get transitional care in the former stage（from May, 2011 to May, 2012） were treated as control group, while the other 80 cases who received transitional care（from May, 2012 to May, 2013） were selected as observational group. The adverse event incidence, PICU return rate, their mental status, and satisfaction of children and their family members were collected and analyzed. Results： The adverse events incidence, PICU return rate, the percentage of anxiety and depression were all lower in observational group as compared with control group（P〈0.05）, while satisfaction score was higher in transitional care group（P〈0.05）. Conclusion： The transitional care model could maintain the continuous and effective nursing care after children transferred from PICU to general ward. It was useful to decrease the incidence of adverse events, PICU return rate, children＇s anxiety and depression occurrence rate. It could promote the rehabilitation of sick children and improve the care quality.