摘要
目的探讨麻醉复苏护士的设置使用方法、效果和麻醉恢复室的运作管理。方法在麻醉恢复室设置6个复苏单元,配置6名麻醉复苏护士专职护理麻醉恢复期患者。将2004年12月住院患者术后进入PACU的病人随机抽取215例纳入研究,分析复苏情况、入室时间分布特点和护士超时工作等研究指标。结果PACU接收病人例数从2003年的296.22±71.39例/月提高到2004年的382.75±64.79例/月(P<0.05)。2004年12月PACU病人平均入室-出室历时89.36±49.94 min、入室-拔管历时70.34±46.95 min,拔管-出室历时24.16±17.59min;88.7%的患者拔管出室,11.3%患者带管出室;出室后7.0%的患者转去ICU,97.0%的患者返回病房;82.7%的患者于10Am^4Pm进入PACU;2.3%的患者于6Pm以后离开PACU,麻醉复苏护士超时工作260 min/月。215例均安全出室,无一例死亡,术后无严重并发症。结论PACU有效运作和麻醉复苏护士提供的专科护理能提高恢复期患者的安全性和护理质量。
Objective To study the usage of PACU nurse and PACU management. Method To setup 6 recovery units and allocate 6 nurses in PACU. The PACU nurse afford special care topost--operating patients. 215 cases draw sample by random from PACU patients in October 2004. Toanalysis patients＇ recovery condition, the regulation of entrance time and nurses＇ overtime work. Results The cases of PACU patient increased from 296.22 ± 71. , 9 to 382. 75±64.79 （P〈0.05） every month compare the year 2003 to 2004. In October 2004, the average time from patient entrance PACU to leave are 89.36 ± 49. 94 minutes. The average time from patient entrance PACU to draw valve intubation are 70.34±46.95 minutes. Theaverage time from patient draw valve intubation to leave PACU are 24. 16± 17. 59 minutes. There are 88. 7% patients drawed valve intubation before leaving and 11. 3% patients leaved, with valve intubation. After leaving PACU, 7.0% patients went to ICU and 97.0% patients went back to ward. From 10AM to 4PM, 82.7% patients entrance PACU. 2.3% patients leaved PACU after 6PM, which lead to nurse overtime work for 260 minutes. All patients safely leaved PACU without dead and syndrome. Conclusion To setup PACU and affordspecial care by PACU nurse could improve patients＇ safety and nursing quantity during patientspost- anaesthesia recovery period.
出处
《护士进修杂志》
北大核心
2005年第10期879-882,共4页
Journal of Nurses Training
