心脏死亡器官捐献专科护士岗位的设立及实践

Establishment and Role of Specialized Nurse for Donation after Cardiac Death

目的探讨设立与实践心脏死亡器官捐献专科护士岗位的效果。方法我院于2014年1月设立心脏死亡器官捐献专科护士岗位,选取通过理论与临床实践考核的护士为心脏死亡器官捐献专科护士。确立其工作目标及工作内容。观察比较设立专科护士岗位前后器官获取手术时间、术后护理时间及器官获取手术量。结果设立心脏死亡器官捐献专科护士岗位后器官获取手术时间及术后护理时间均短于设立岗位前(P<0.05);器官获取手术量由2013年98例患者增长到2015年176例患者,肝脏捐献数由39个增长到102个,肾脏捐献数由76增长到291个。结论心脏死亡器官捐献专科护士岗位的设立缩短了器官获取手术时间及术后护理时间,器官获取数量逐年增加,提高了手术效率。

Objective To summarize the experience of establishing specialized nurse for donation after cardiac death. Methods Qualified nurses were selected then the position and corresponding duty of specialized nurse for donation after cardiac death was established since January 2014. Operation time for organ procurement, postoperative nursing time and the amount of organ donation before and after the establishing of the position were compared. Results Operation time for organ procurement and postoperative nursing time after the establishing of the position were shorter than before（P〈0.05）. Organ procurement surgery increased from 98 patients in 2013 increased to 176 patients in 2015, liver donated by the number increased from 39 to102, 76 kidneys donated by the number increased to 291. The number of donation of liver increased from 39 to102, the number of donation of kidney increased from76 to 291. Conclusion The establishing of specialized nurse for donation after cardiac death helps to shorten operation time for organ procurement and postoperative nursing time of donation after cardiac death surgery, and improve operation efficiency.