摘要
目的:探讨护理干预在降低急诊危重患者院内转运中生命体征波动率的应用效果。方法:采用回顾性研究的方法,将深圳大学第一附属医院(深圳市第二人民医院)急诊科2016年7月至2017年6月835名需院内转运的急诊危重患者作为对照组,运用常规转运方法;2017年7月至2018年6月852名需院内转运的急诊危重患者作为观察组,采用常规转运和护理干预措施转运,比较两组患者院内转运中生命体征波动>20 %比例及意外情况发生率。结果:生命体征波动> 20 %比例:观察组为7.16 %小于对照组的10.18 %,差异具有统计学意义(P < 0.05)。意外情况发生率:对照组10例(3例供氧中断、3例导管滑脱、2例心跳呼吸骤停、2例接收延迟),发生率为1.19 %;观察组6例(2例供氧中断、1例心跳呼吸骤停、3例接收延迟),发生率为0.70 %,差异无统计学意义(P > 0.05)。结论:对急诊危重患者院内转运进行护理干预有利于维持患者生命体征稳定,减少意外情况的发生率。
Objective To evaluate the impact of nursing intervention on reducing the fluctuation rate of vital signs inter-hospital transportation of critical patients in emergency department.Methods A retrospective study on emergency transit critical patients from July 2016 to June 2018 were selected as the study subjects.We prospectively collected data from 835 patients from 2016 July to 2017 June in emergency department of the first affiliated hospital of Shenzhen university (Shenzhen second people’s hospital) as control group,and 852 emergency critical patients in hospital from July 2017 to June 2018 as intervention group.The ratio of fluctuation of vital signs > 20% and the incidence of accidents were compared between the two groups.Results The proportion of fluctuation of vital signs > 20%:the intervention group was 7.16% less than 10.18% in the control group,the difference was statistically significant (P < 0.05);the incidence of accidents in the intervention group was 0.70% less than 1.19% in the control group,the difference was not statistically significant (P > 0.05).Conclusions Nursing intervention for the hospital transport in emergency critical patients is conducive to maintaining the stability of the patient’s vital signs and reducing the occurrence of accidents.
作者
彭刚刚
荣惠萍
汤东三
刘薇
谭薇
PENG Gang-gang;RONG Hui-ping;TANG Dong-san;LIU Wei;TAN Wei(The First Affiliated Hospital of Shenzhen University,Shenzhen second people's hospital,Guangdong Shenzhen 518000)
出处
《深圳中西医结合杂志》
2020年第20期196-198,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
深圳市卫计委科研项目资助课题(SZSW2018006)。
关键词
急诊危重患者
院内转运
护理干预
Emergency critical patients
Inter-hospital transportation
Nursing intervention
