摘要
目的评价多学科团队对降低心脏外科ICU护士监护仪报警疲劳的效果。方法组建由医生、护士、麻醉师、监护仪工程师组成的多学科团队,优化报警范围设置,关闭易干扰的非重要参数报警,加强使用特殊药品患者的报警管理,规范监护仪的使用。比较干预前后ICU护士报警疲劳程度和患者ICU住院时间及死亡率。结果 ICU护士报警疲劳量表总分由干预前(21.43±2.76)分下降为干预后(18.32±2.58)分,差异有统计学意义(P<0.01);干预前后患者ICU住院时间和死亡率差异无统计学意义(P>0.05)。结论通过多学科团队进行监护仪报警管理,能够有效减轻ICU护士报警疲劳程度,且能够保障ICU住院患者安全,建议在同类科室推广应用。
Objective To evaluate the effect of multidisciplinary team on reducing the ECG manitor alarm fatigue of nurses in cardiac surgery ICU.Methods A multidisciplinary alarm management team was established which included doctors,nurses,anesthesiologists and engineers.Management program was applied including optimizing the alarm range setting turn off non-important parameter alarm,strengthen alarm management of patients using special drugs and standard professional training for nurses.Alarm fatigue level of nurse,length of stay and mortality of patients in ICU were compared before and after the intervention.Results The total score of the alarm fatigue scale of nurses decreased from（ 21.43±2.76） to（ 18.32± 2.58）.The difference was statistically significant（ P〈0.01）. The length of stay and mortality of patients in ICU were compared before and after the intervention,the difference were not statistically significant（ P〈0.05）.Conclusion The establishment of multidisciplinary alarm management team can reduce the alarm fatigue effectively,and improve the alarm security.It is recommended to promote in similar departments.
作者
薛燕
仲骏
郑吉莉
XUE Yan;ZHONG Jun;ZHENG Jili(Cardiac Surgery ICU,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China)
出处
《护理管理杂志》
2018年第8期601-604,共4页
Journal of Nursing Administration
关键词
ICU
多学科团队
监护仪
报警疲劳
护理管理
ICU
multidiseiplinary team
ECG monitor
alarm fatigue
nursing management
