目标责任制在ICU护理管理中的应用观察

Application Observation of Target Responsibility System in ICU Nursing Management

目的探讨目标责任制在ICU护理管理中的应用效果。方法选取2017年12月~2018年12月于我院ICU住院治疗的92例患者作为分析对象,按照随机数字表法将其分为观察组与对照组各46例。对照组患者予以常规护理,观察组患者予以目标责任制护理。出院时,评估两组ICU护理质量(基础护理、护理技能、病房管理、健康教育、护理流程);观察两组患者在ICU住院时间、院内感染发生率、病死率差异。比较两组患者出院4周后生活质量[健康状况调查问卷(SF-36)]评分差异。结果出院时,观察组ICU护理质量明显高于对照组(P均<0.05);观察组患者ICU住院时间明显低于对照组(P<0.05),两组患者院内感染发生率、病死率比较差异无统计学意义(P均>0.05)。出院4周后,观察组患者生活质量明显高于对照组(P均<0.05)。结论目标责任制护理能提高ICU护理质量,能缩短患者ICU住院时间,降低院内感染发生率及病死率,提高患者生活质量。

Objective To explore the application effects of target responsibility system in ICU nursing management.Methods A total of 92 patients who were hospitalized in ICU of our hospital from December 2017 to December 2018 were selected as analysis subjects.The patients were divided into observation group and control group according to the random number table method,with 46 cases in each group.Patients in control group were given routine nursing while patients in observation group were given nursing of target responsibility system.At discharge,the quality of ICU nursing(basic nursing,nursing skills,ward management,health education,nursing procedures)was evaluated in the two groups.The ICU stay,incidence rate of nosocomial infection and mortality rate were observed in the two groups.The quality of life score[short-form health status questionnaire(SF-36)]after 4 weeks of discharge was compared between the two groups.Results At discharge,the quality of ICU nursing in observation group was significantly higher than that in control group(all P<0.05).The ICU stay in observation group was significantly lower than that in control group(P<0.05),and there were no statistically significant differences in the incidence rate of nosocomial infection and mortality rate between the two groups(all P>0.05).After 4 weeks of discharge,the quality of life in observation group was significantly higher than that in control group(all P<0.05).Conclusion Nursing of target responsibility system can improve the quality of ICU nursing,shorten the ICU stay,reduce the incidence rate of nosocomial infection and mortality rate,and promote the quality of life of patients.