多学科协作护理对急诊危重患者院内转运时间及转运不良事件的影响

Effect of multidisciplinary collaborative nursing on the intrahospital transport time and adverse events due to transport in critical patients of emergency department

目的探讨多学科协作护理对急诊危重患者院内转运时间及转运不良事件的影响。方法选取2018年3月至2019年9月在我院急诊科接收的危重症治疗的380例患者为研究对象,根据入院时间将其等分为观察组和对照组,对照组采用常规转运模式,观察组采取多学科协作护理转运模式,比较两组转运过程中不良事件发生率、转运时间、APACHEⅡ评分及交接问题发生率。结果观察组患者转运过程中不良事件发生率低于对照组,转运时间短于对照组,APACHEⅡ评分低于对照组,交接问题发生率少于对照组,差异均有统计学意义(P<0.05)。结论对急诊危重院内转运患者采用多学科协作护理转运模式,能够有效缩短转运时间,降低转运过程不良事件及交接问题的发生率,在一定程度上改善患者预后,值得临床推广应用。

Objective To explore the effect of multidisciplinary collaborative nursing on the intrahospital transport time and adverse events due to transport in critical patients of emergency department.Methods To select 380 cases of critical patients treated in the emergency department of our hospital from March 2018 to September 2019 was set as the study objects,and they were divided into an observation group and a control group according to the time of admission.The control group adopted the routine transfer mode,and the observation group adopted the multidisciplinary cooperative nursing transfer mode to compare the incidence of adverse events,transfer time,APACHEⅡscore and the incidence of handover problems during the transfer process between the two groups.Results The incidence of adverse events during the transfer process in the observation group was lower than that in the control group,the transfer time was shorter than that in the control group,the APACHEⅡscore was lower than that in the control group,the incidence of handover problems was less than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of multidisciplinary cooperative nursing transfer mode in critical patients of emergency department who underwent intrahospital transfer can effectively shorten the transfer time,reduce the incidence of adverse events and handover problems during the transfer process,and improve the prognosis of patients to a certain extent.It was worthy of clinical promotion and application.