外周介入术后观察表的设计及临床应用

The design and clinical application of post-peripheral intervention observation form

目的构建以时间点和观察项目为框架的外周介入术后患者观察表,应用于临床并评价其效果。方法采用非同期病例对照研究,以便利抽样法选取2014年6月1日至2014年12月31日101例外周介入术后患者为对照组,进行常规护理及记录,2015年1月1日至2015年6月30日102例外周介入术后患者为干预组,采用常规护理并应用自行设计《外周介入术后观察表》进行观察,将两组观察结果进行统计学分析;实施后每月邀请10名患者、5名管床医师、5名责任护士进行一次护理质量满意度评价。结果干预组主要术后并发症发生例数低于对照组,差异经χ~2检验均有统计学意义(P<0.05);干预组患者平均住院时间、平均住院费用低于对照组患者,差异经t检验有统计学意义(P<0.05);使用该表后,患者、管床医师对于护理质量满意度提高、责任护士对护理质量自评满意度提高,差异经t检验有统计学意义(P<0.05)。结论干预组患者各项指标均优于对照组患者,表明该观察表设计合理且符合专科特点,突出了对外周介入术后患者病情的动态观察,强化了监测术后并发症的有效性,有利于外周介入术后病情观察的落实,值得推广使用。

Objective To design a post-peripheral intervention observation form that uses the timepoint and observation project as the framework of contents, and to evaluated its clinical applieation effect. Methods Non-concun＇ent patients were used to make a control study. By using the convenient sampling method, 101 patients, who received peripheral interventional therapy during the period from June 1, 2014 to December 31, 2014, were collected and used as the control group; routine nursing care was adopted and the results were documented. A total of 102 patients, who received peripheral interventional therapy during the period from January 1, 2015 to June 30, 2015, were used as the intervention group, for whom routine nursing care was carried out and self-designed ＂post-peripheral intervention observation form＂ was employed to record the nursing observation. The results of the two groups were statistically analyzed. After using the form, every month 10 patients, 5 visiting physicians and 5 responsible nurses were asked to make an evaluation of nursing quality satisfaction. Results The incidence of main postoperative complications in the intervention group was lower than that in the control group, the chi- square test showed that the differenee between the two groups was statistically significant （P〈0.05）. The average hospitalization days and the mean medical expense of the intervention group were lower than those of the control group, the chi- square test indicated that the difference between the two groups was statistically significant （P〈0.05）. After using this form, the nursing quality satisfaction of patients and visiting physicians was improved, the self-rating satisfaction assessed by responsible nurses was also improved, the chi-square test revealed that the difference between the two groups was statistically significant （P〈0.05）. Conclusion All the evaluation indexes of tile patients in the intervention group are better than those of the patients in the control group, indicating that this observation form is reasonably designed, meets the specialty characteristics, heightening the dynamic observation for patients after peripheral intervention, strengthens the effectiveness of monitoring postoperative complications, and is helpful for the implementation of the observation after peripheral intervention. Therefore, this observation form is worth promoting use.（J Intervent Radiol, 2017, 26： 462-465）