安全预警护理流程在体外膜肺氧合院内转运护理中的应用价值

Application value of safety early warning nursing process in the intra-hospital transport nursing of extracorporeal membrane oxygenation

目的探讨安全预警护理流程在体外膜肺氧合(ECMO)患者院内转运护理中的应用价值,以期为临床决策的制定提供参考。方法本研究选取我院2020年1月-2023年2月收治的130例需要ECMO支持的患者作为研究对象,将安全预警护理流程推行前(2020年1月-2021年12月)就诊的70例患者纳入对照组,予以常规护理干预;将安全预警护理流程推行后(2022年1月-2023年2月)就诊的60例患者纳入观察组,予以安全预警护理流程下的ECMO院内转运护理。比较2组患者院内转运时间、不良事件发生率,待转运完成后记录并比较2组患者家属护理满意度、ECMO转运医师对ECMO转运护士的满意度及责任护士专业技能[责任护士评判性思维能力测量表(CTDI-CV)、重症护士核心能力评价表]。结果观察组患者院内转运时间为(25.01±0.57)min,明显短于对照组的(42.16±0.78)min,差异具有统计学意义(P<0.05)。观察组不良事件发生率为11.22%,明显低于对照组的22.32%,差异具有统计学意义(P<0.05)。观察组患者家属护理满意度为98.33%,明显高于对照组的51.43%,差异具有统计学意义(P<0.05)。观察组ECMO转运医师对ECMO转运护士的护理满意度为96.67%,明显高于对照组的48.57%,差异具有统计学意义(P<0.05)。观察组责任护士CTDI-CV各维度评分及总分、重症护士核心能力评价表各维度评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论将安全预警护理流程应用于ECMO患者的转运流程中,能够减少不良事件发生风险,增强护理人员专业技能,提高医师及患者家属对护理人员的满意度,具有较高的应用及推广价值。

Objective To explore the application value of the safety early warning nursing process in the intra-hospital transport nursing of extracorporeal membrane oxygenation(ECMO)patients,to provide evidence for the formulation of clinical decision-making.Methods This study selected 130 patients who required ECMO support and were admitted to our hospital from January 2020 to February 2023 as the research participants.Seventy patients admitted before the implementation of the safety early warning nursing process(from January 2020 to December 2021)were included in the control group and received routine nursing interventions.Sixty patients admitted after the implementation of the safety early warning nursing process(from January 2022 to February 2023)were included in the observation group and received ECMO intra-hospital transport nursing under the safety early warning nursing process.The intra-hospital transport time and adverse event incidence rate of the two groups of patients were compared.After the completion of the transport,the degree of satisfaction with nursing of the patients'families in the two groups,the degree of satisfaction of ECMO transport physicians with ECMO transport nurses,and the professional skills of the responsible nurses[Critical Thinking Disposition Inventory-Chinese Version(CTDI-CV),The Evaluation Form of Core Nursing Competence on Critical Care Nurse]were recorded and compared.Results The intra-hospital transport time for patients in the observation group was significantly lower than that of the control group[(25.01±0.57)min vs.(42.16±0.78)min;P<0.05].The adverse event incidence rate in the observation group was significantly lower than that of the control group(11.22%vs.22.32%;P<0.05).The degree of satisfaction with nursing of the patients'families in the observation group was significantly higher than that of the control group(98.33%vs.51.43%;P<0.05).The degree of satisfaction of ECMO transport physicians with ECMO transport nurses in the observation group was significantly higher than that of the control group(96.67%vs.48.57%;P<0.05).The subscale and total scores of the CTDI-CV and the subscale score of the Evaluation Scale of Core Nursing Competence on Critical Care Nurse in the observation group were all significantly higher than those in the control group(P<0.05).Conclusion The ap-plication of the safety early warning nursing process in the transport process of ECMO patients can reduce the risk of adverse events,enhance the professional skills of nursing staff,and raise the degree of satisfaction of physicians and patients'families with nursing staff,justifying a wider application and promotion.