摘要
目的:探讨急性生理学及慢性健康状况评分系统用于SICU护理管理的可行性及临床使用的价值。方法:对2005-2009年入住该院SICU病房的所有病人进行急性生理学及慢性健康状况评分,针对分值高的项目采取针对性护理措施,最终分析不同分值与护理相关并发症的关系。结果:其评分的分值越高,病人的HAP、气管插管、精神障碍、计划外拔管、压疮、深静脉血栓的发生率和死亡率等均有相应的增加,在采取一定预防措施后,二者依然呈正相关。结论:在SICU中应用急性生理学及慢性健康状况评分对病人进行危重度的评估,并对其护理相关并发症发生的危险因素进行预测,合理安排护士人力,对不同分值的病人给予不同的护理关注度,是一种科学的危重病管理方法。
Objective：To evaluate the feasibility and value of application of acute physiology and chronic health evaluation II（APACHE II） scoring system in nursing administration of surgical intensive care unit（SICU）.This could improve the overall nursing quality and the management level of critically ill patients.Methods：From 2005 to 2009,the APACHE II scoring system was introduced to evaluate patients＇condition at 24h,72h and 1 week after SICU admission.Special nursing care was provided if the APACHE II score was higher than 12 and the relationship between the APACHE II scores and nursing related complications was analysed.Results：There were positive relationship between APACHE II scores and the incidence of HAP,tracheal tubation,mental disorders,unplanned extubation,bedsore and deep venous thrombosis even after taking some preventive measures.Conclusion：APACHE II scoring system is effective to assess the severity of patient＇s condition,to predict the risk factors of nursing related complications,to arrange nursing staff properly and to give different nursing concern according to different scores in SICU.The application of APACHE II scoring system in SICU is a scientific method to manage critically ill patients.
出处
《中国护理管理》
2011年第2期36-38,共3页
Chinese Nursing Management
基金
军队十一五医药卫生科研基金重点资助项目(06G041)
南京军区南京总医院院管重点课题(2005057)
