追踪方法学在呼吸内科危重疾病患者护理全过程中的应用研究

Application Research of Tracking Methodology in Respiratory Medicine the Whole Nursing Patients with Severe Disease

目的:探索个案追踪方法学在呼吸科危重疾病患者护理中的应用。方法:采用个案追踪法,选择2012年1月-2014年12月病区危重疾病患者60例,结合具体病例根据护理全过程14条,通过对危重患者全方位的跟踪、分析,较真实地发现危重患者全过程中的护理问题,并进行持续质量改进。结果:通过追踪查房,能够提高护士的临床思维,护理专业水平得到发展,患者得到更好的照护,患者满意度得到提高,实施追踪查房前后比较差异均有统计学意义(P<0.05)。结论:追踪方法学应用于危重疾病个案护理查房,可以培养与提高护士临床护理综合能力,使危重疾病患者获得更优质的护理,减少并发症,降低住院天数,获得良好的社会效益。

Objective：To explore the case tracking methodology in the patient care in acute respiratory diseases. Method：The case tracking method was adopted, 60 ward patients with severe disease were selected from January 2012 to December 2014,combined with specific cases, accorded to the nursing process of article 14, by means of critically ill patients with a full range of tracked and analyzed,a real critical patients’ nursing problems in the whole process was discovered,and quality improvement was continued.Result：Through rounds, could improved the nurse clinical thinking, development of nursing profession level improved, patients got better care, patient satisfaction was improved, the differences were statistically significant（P〈0.05）.Conclusion：Tracking methodology applied in the critically ill disease cases nursing ward round,can cultivate and improve comprehensive clinical nursing ability,critical illness patients get better care,reduce complications, reduce the hospitalization days,and obtain good social benefits.