自制一体化交接单在脑血管介入患者中的应用

Application of self-made integrated handover sheet in patients receiving cerebrovascular intervention

目的:自制一体化脑血管介入术患者的交接单,观察运用此种交接单后效果。方法:将2015年6月至2016年6月在我科拟行颈动脉支架置入术的患者360例按随机数字表法随机分为观察组及对照组;对照组180例给予介入术前术后常规护理,观察组180例在对照组基础上使用自行设计的脑血管介入术前术后一体化交接单。结果:观察组患者的高灌注综合征发生率低于对照组,患者满意度、护理交接漏项、平均住院日以及护士对患者病情掌握情况均优于对照组(P<0.05)。结论:脑血管介入患者一体化交接单的使用规范、简洁、高效,符合神经内科临床护理工作需要,避免了术前术后交接工作的遗漏,减少了高灌注综合征的发生率,提高了术后患者的安全性管理,提高了护士对患者病情的掌握从而提高了护理质量。

Objective： To observe the effectiveness of self-made integrated handover sheet in patients receivingcerebrovascular intervention. Methods： From June 2015 to June 2016,360 patients receiving carotid artery department were randomly divided into observation group and control group; 180 patients in the control group were given routine nursing intervention before and after cerebrovascular intervention ; in addition, 180 patients in the observation group were treated with self-made integrated handover sheet tor nursing before and after cerebrovascular intervention. Resuperfusion syndrome in the observation group was lower than that in the control group, and missed items in nursing handover,the average length of stay and the nurses’ mastery of the patient’s conditionof the control group （ all - 〈 0. 05 ）. Conclusion： The use of integrated handover sheet in patients receiving cerebrovascularintervention is standard,simple and efficient. It meets the requirement of clinical nursing work,avoids the omission of the handover work before and after operation,reduces the incidence of hyperperfusion syndrome,and improves the patient＇s safety management after operation and can improve the quality of nursing.