急诊重症监护病房优化抢救流程的护理管理效果分析

Nursing management efficacy of the rescue process after optimized in EICU

目的探讨急诊重症监护病房应用优化抢救流程的护理管理效果。方法选取2015年7月~2016年6月在本院急诊重症监护病房(EICU)接受治疗的60例患者设为观察组,应用优化抢救流程进行抢救。回顾分析2014年7月~2015年6月在我院急诊重症监护病房接受治疗,采用传统抢救流程进行抢救的60例患者的临床资料作为对照组。比较两组患者的抢救准备时间、抢救成功率、每次抢救需要的护理人员人数、护理不良事件发生率以及患者家属的满意度。结果观察组患者的抢救准备时间[(1.7±0.2)min]短于对照组患者[(3.6±0.4)min],患者的抢救成功率(86.7%)高于对照组(66.7%),参与抢救的护理人员人数[(2.9±0.3)名]少于对照组[(4.5±0.4)名],护理不良事件发生率(3.3%)低于对照组(15.0%),患者家属的满意度(90.0%)高于对照组(73.4%),差异均有统计学意义(P<0.05)。结论应用优化抢救流程对急诊重症监护病房患者实施抢救,可有效缩短抢救时间,提高患者抢救成功率,节省护理人力资源,值得临床推广应用。

Objective To explore nursing management efficacy of the rescue process after optimized in EICU.nethods 60 patients who received treatments in EICU in our hospital from July 2015 to June 2016 were selected as the observa- tion group and rescued by the optimized process.The other 60 patients hospitalized in EICU from July 2014 to June 2015 were selected as the control group and rescued by traditional process.The rescue preparation time,survival rate,the number of participating nurses,incidence of adverse Care events and nursing satisfaction of family members of patients were compared between two groups.Results The rescue preparation time of the observation group [（1.7±0.2）min] was shorter than that of the control group [（3.6±0.4）mini,the survival rate（86.7%）was higher than that of the control group（66.7%）, the number of participating nurses [（2.9±0.3）cases] was less than that of the control group [（4.5±0.4）cases],the incidence of adverse care events （3.3%） was lower than that of the control group （15.0%）,the nursing satisfaction of family mem-bers of patients （90.0%） was higher than that of the control group （73.4%）,all the difference was statistically significant （P〈0.05）.Conclusion The rescue process after optimized in EICU can save the rescue time,improve the success rate of rescue,save nursing staff.h is worthy of clinical application.