定位分工配合法用于急危重症患者院内转运应用研究

Labor division and cooperation in transferring acute critically-ill patients at the hospital

目的探讨定位分工配合法用于急危重症患者院内转运过程的有效性。方法选取本院2016年1月至2018年12月就诊本院的危急重症需要院内转运的患者90例,依据患者入院时随机数字表法随机分配的转运车编号分为两组,各45例。A组采用定位分工配合法,B组进行常规配合法,对比两组患者转运准备时间、转运途中时间、转运全程时间、转运途中死亡、导管脱落、管道受压、仪器或监护设备异常事件发生率,患者及家属对转运过程满意度、诊疗措施满意度、转运途中急救满意度。结果观察组转运准备时间、转运全程时间分别为(3.14±1.08)min、(17.39±1.52)min,均低于对照组,差异均有统计学意义(均P<0.05);观察组转运途中死亡、氧源中断、指脉氧脱落、仪器设备工作异常发生率均为0.00%,均低于对照组,差异均有统计学意义(均P<0.05);观察组转运过程满意度、诊疗措施满意度、转运途中急救满意度分别为97.78%、100.00%、100.00%,均显著高于对照组,差异均有统计学意义(均P<0.05)。结论定位分工配合法用于危急重症患者的院内转运过程中,能够有效减少转运准备时间,缩短转运全程时间,避免转运途中意外事件发生,提高患者及家属对院内转运的满意程度。

Objective To explore the effectiveness of labor division and cooperation in transferring acute critically-ill patients at the hospital. Methods 90 acute critically-ill patients who were transferred within the hospital from January, 2016 to December, 2018 were selected, and randomly divided into group A and group B, 45 cases for each group. Labor division and cooperation were adopted in group A, and routine cooperation in group B. The time for preparing transfer, transit time, whole transit time, death during transit, catheter shedding, pressed tube, incidence of abnormal events of instrument or monitoring equipment, satisfaction of patients and their families to the transfer, diagnosis and treatment, and first aid in transit were compared between the two groups. Results The transit preparation time and the whole transfer time were (3.14 ±1.08) min and (17.39 ±1.52) min in the observation group, which were lower than those in the control group (both P < 0.05). The incidences of death during transfer, oxygen shortage, oximeter out of place, and malfunction of instrument and equipment all were 0. 00%, which were significantly lower than those in the control group (all P < 0.05). The satisfaction rates of transfer process, diagnosis and treatment, and first aid during transfer were 97.78%, 100.00%, 100.00% in the observation group, which were higher than those in the control group (all P < 0.05). Conclusion Applying labor division and cooperation in transferring acute critically-ill patients at the hospital can shorten transfer preparation time and the whole transfer time, prevent accidents during transfer, and improve the satisfaction of the patients and their families.