安全转运护理模式在急诊科危重患者院内转运中的临床价值

Clinical value of safe transfer nursing model in hospital transfer of critically ill patients in the department of emergency

目的探究安全转运护理模式在急诊科危重患者院内转运中的临床价值。方法选择2020年1—9月广东省东莞市滨海湾中心医院急诊科收治的850例危重患者设为观察组(实施安全转运护理模式),抽取2019年4—12月广东省东莞市滨海湾中心医院急诊科收治的660例危重患者设为对照组(采用平车常规护送),比较两组的不良事件发生情况、转运耗时以及患者家属满意度。结果观察组不良事件总发生率为1.76%明显低于对照组的10.00%,差异有统计学意义(P<0.05);观察组外出检查,包括超声、CT、X线等,转运耗时为(26.12±3.11)min、转入专科耗时(21.18±3.13)min、转入介入室耗时(5.32±1.19)min显著短于对照组的(34.25±4.27)min、(25.33±3.07)min、(6.16±1.32)min,差异有统计学意义(P<0.05);观察组患者家属满意度中护患沟通、转运途中照护、转回科室处理得分以及总分分别为(21.52±5.32)分、(34.56±7.13)分、(25.34±6.32)分、(76.35±11.26)分,显著高于对照组的(20.33±4.78)分、(32.33±6.25)分、(22.33±6.41)分、(73.62±11.09)分,差异有统计学意义(P<0.05)。结论安全转运护理模式在急诊科危重患者院内转运中的临床价值高,可有效减少不良事件发生风险、缩短转运时间以及提高患者家属满意度。

Objective To investigate the clinical value of safe transfer nursing model in hospital transfer of critically ill patients in the department of emergency.Methods Critically ill patients admitted to the Department of Emergency in Dongguan Binhaiwan Central Hospital from January to September 2020 were set as the observation group(safe transfer nursing model was implemented,n=850),and those from April to December 2019 were set as the control group(conventional transfer by flat car was adopted,n=660).The incidence of adverse events(AEs),the time consumed for transfer and satisfaction of patients'families in the two groups were compared.Results The total incidence of AEs in the observation group was 1.76%,which was significantly lower than 10.00%in the control group,with statistically significant difference(P<0.05).The observation group went out for examinations,including ultrasound,CT,X-ray,etc.The time consumed was(26.12±3.11)min for transfer,(21.18±3.13)min for transfer to specialist,and(5.32±1.19)min for transfer to intervention room,significantly lower than(34.25±4.27)min,(25.33±3.07)min and(6.16±1.32)min in the control group,respectively,with statistically significant differences(P<0.05).In the observation group,the satisfaction scores of nurse-patient communications,care during transfer,transfer back to department for treatment and total score were(21.52±5.32)points,(34.56±7.13)points,(25.34±6.32)points and(76.35±11.26)points,which were significantly higher than(20.33±4.78)points,(32.33±6.25)points,(22.33±6.41)points and(73.62±11.09)points in the control group,with statistically significant differences(P<0.05).Conclusion Safe transfer nursing model has high clinical value in the hospital transfer of critically ill patients in the department of emergency,which can effectively reduce the risk of AEs,shorten the transfer time and improve the satisfaction of patients'families.