Smart方案用于心血管科心电监护患者安全管理中的价值

The Value of Smart Scheme for Safe Management of Patients With Electrocardio Monitoring in Cardiovascular Department

目的研究目标管理(specific-measurable-attainablerelevant-time-bound,Smart)方案对心血管科心电监护患者安全管理不良事件发生率的影响。方法选取2021年3—8月在龙岩人民医院心血管科采用传统管理方案进行心电监护管理的44例患者作为对照组,按1∶1比例将2021年9月—2022年3月采用Smart方案进行心电监护管理的44例患者为观察组。比较2组患者的心电监护安全管理不良事件发生率、心电监护管理质量、护理满意度、警报误报次数及异常心电信号发生率。结果观察组心电监护安全管理不良事件总发生率为2.27%,低于对照组的18.18%(P<0.05)。观察组患者心电监护管理质量优于对照组(P<0.05)。观察组患者护理总满意度为97.73%,高于对照组的81.82%(P<0.05)。观察组心血管科心电监护仪的误报次数为(47.69±5.22)次/周,低于对照组的(143.78±11.83)次/周,差异有统计学意义(P<0.05)。观察组患者异常心电信号发生率为27.27%,高于对照组的9.09%(P<0.05)。结论将Smart方案应用于心血管科心电监护患者的安全管理中可降低其心电监护安全管理不良事件发生率,同时提高心电监护管理质量,且护理满意度较高,并减少误报次数,提高异常心电信号检出率。

Objective To study the effect of specific-measurableattainable-relevant-time-bound(Smart)scheme on the incidence of adverse events in the safety management of patients with electrocardio monitoring in cardiovascular department.Methods A total of 44 patients who received electrocardio monitoring and management by traditional management scheme in the department of cardiovascular,Longyan People's Hospital from March to August 2021 were selected as the control group.A total of 44 patients who received electrocardio monitoring and management by Smart scheme from September 2021 to March 2022 were selected as the observation group at a ratio of 1:1.The incidence of adverse events in electrocardio monitoring safety management,the quality of electrocardio monitoring management,nursing satisfaction,the number of false alarms and the incidence of abnormal electrocardio signals were compared between the two groups.Results The total incidence of adverse events in electrocardio monitoring and safety management in the observation group was 2.27%,which was lower than 18.18%in the control group(P<0.05).The quality of electrocardio monitoring management in the observation group was better than that in the control group(P<0.05).The total satisfaction of nursing in the observation group was 97.73%,which was higher than 81.82%in the control group(P<0.05).The false alarm frequency of electrocardio monitor in the cardiovascular department of the observation group was(47.69±5.22)times/week,which was lower than(143.78±11.83)times/week of the control group,and the difference was statistically significant(P<0.05).The incidence of abnormal electrocardio signal in observation group was 27.27%,which was higher than 9.09%in control group(P<0.05).Conclusion Applying the Smart scheme to the safety management of electrocardio monitoring patients in cardiovascular department can reduce the incidence of adverse events in electrocardio monitoring safety management,improve the quality of electrocardio monitoring management,and have higher nursing satisfaction,reduce the number of false positives and improve the detection rate of abnormal electrocardio signals.