“三清”模式在内科危重症患者交接班管理中的应用

Application of “Three Clarification” management in nursing hand-over of critically ill patients in the internal medicine department

目的探讨“三清”交接班模式在内科危重症患者交接班管理中的应用效果。方法2018年7月—9月收治的危重症患者83例设为对照组,2018年10月—12月收治的88例危重症患者为干预组。对照组按原有的交接班模式对患者进行管理,干预组采用“三清”交接班模式。对比干预前后护士专科知识成绩,对比2组患者危重症护理质量、交接班时长。结果25名护士参与研究。干预前护士专科知识成绩均分为(88.31±7.17)分,干预后护士专科知识成绩均分为(96.71±8.66)分,差异有统计学意义(t=10.673,P<0.01)。干预组患者危重症护理质量评分高于对照组,交接班时长短于对照组,差异有统计学意义(P<0.01)。结论“三清”交班模式的开展有效提高了护士的专科知识水平,提高了危重症护理质量,缩短了交接班时间。

Objective To investigate the effect of “Three Clarification” in nursing hand-over of critically ill patients in the internal medicine department. Methods A “Three Clarification” management had been adopted in nursing hand-over of critically ill patients since October 2018. Totally 83 critically ill patients were recruited as the control group between July and September 2018, another 88 patients were included as the intervention group between October and December 2018. The knowledge level of nurses, nursing quality and duration of nursing hand-over were assessed before and after implementation of “Three Clarification” management. Results Totally 25 nurses participated in the assessment, and they had achieved a better outcome of nursing specific knowledge assessment (96.71±8.66 vs 88.31±7.17, t =10.673, P <0.01). The score of nursing quality assessment was higher in the intervention group than that in the control group( P <0.01). The duration of nursing hand-overin the intervention group was shorter than that in the control group ( P <0.01). Conclusion The “Three Clarification” management can enhance the knowledge level of nurses, improve the quality of critical care and shorten the duration of nursing hand-over.