移动ICU转运模式应用于危重症患者转运中的临床效果

Clinical effect of mobile intensive care units for critically ill patients intra-hospital transport

目的探讨院内展开移动ICU转运模式对危重症患者转运的影响和临床效果。方法回顾性分析2015年2月至2015年8月陕西省人民医院重症医学科收治的242例患者的临床资料,将其按照转运方式的不同分为对照组(117例)及观察组(125例)。对照组患者采用传统转运方式,观察组患者则采用移动ICU转运模式,比较两组患者转运过程中不良事件发生率及相关因素。结果观察组中不良事件共发生12例,不良事件发生率为9.6%,对照组中不良事件共发生32例,不良事件发生率为27.4%,观察组患者的不良事件发生率明显低于对照组,差异有统计学意义(P<0.05);而影响转运不良事件发生的相关因素有患者病情、仪器设备以及转运人员,且观察组各相关因素的不良事件发生率稍低于对照组,但差异无统计学意义(P>0.05)。结论移动ICU转运模式可有效减少人为因素导致的不良事件发生,有效降低不良事件发生率,提高重症患者转运的安全性和实效性,值得临床推广及应用。

Objective To investigate the clinical effects of mobile intensive care units for critically ill patients intra-hos- pital transport. Methods The clinical data of 242 cases of critically ill patients admitted in Shaanxi Provincial People＇s Hospital from February 2015 to August 2015 were retrospective analyzed. According to the different transport modes, all the patients were divided into the control group （117 cases） and observation group （125 cases）. The patients in control group were treated with traditional transport mode, while the patients in observation group were treated with mobile inten- sive care units transport mode. The incidence and related factors of adverse events in the transport process were compared between the two groups. Results There were 12 cases of adverse events, and the incidence of adverse events was 9.6% in the observation group. There were 32 cases of adverse events, and the incidence of adverse events was 27.4% in the control group. The incidence of adverse events in the observation group was significantly lower than that in the control group, and the difference was statistically significant （P〈0.05）. The patients with the condition, equipment and personnel transport were the related factors affecting the transport of adverse events. The incidence of adverse events related factors of the observation group were lower than those of the control group, but the differences were not statistically significant （P〉0.05）. Conclusion The adverse events of mobile intensive care units can effectively reduce the human factors caused the occurrence, effective- ly reduce the incidence of adverse events, improve the safety and effectiveness of the transport of critically ill patients, which is worthy of clinical promotion and application.