摘要
目的探讨创新型护理流程模式对重症监护病房(ICU)机械通气患者并发症及护理质量的影响。方法选取2012年6月—2014年6月该院ICU收治的84例机械通气患者为研究对象,根据患者入院时间分为对照组(2012年6月-2013年5月)40例及观察组(2013年6月—2014年6月)44例,对比分析二组患者并发症发生率、护理质量及预后情况。结果观察组患者呼吸机相关性肺炎(VAP)、气道糜烂、声带受损、声门水肿、气管坏死、溃疡等发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组基础护理、特级护理、病房管理、文书管理、重点环节管理、急救药品管理及总护理质量评分显著高于对照组(P<0.05)。观察组机械通气时间、入住ICU时间、平均住院时间显著少于对照组,而患者满意度评分高于对照组(P<0.05)。结论创新型护理流程模式能有效提高ICU机械通气患者护理质量,降低患者并发症发生率,缩短患者机械通气时间,促进患者预后,提高患者满意度。
Objective To investigate the imapct of complications and quality of care of innovative care process model for ICU patients receiving mechanical ventilation. Methods Totally 84 cases of ICU mechanically ventilated patients were divided into control groups （June 2012 to May 2013） 40 cases and observation group （June 2013 to June 2014） 44 cases according to the time of admission of patients. The incidence of complications, quality of care and prognosis of the two groups were compared. Results The ventilatorassociated pneumonia （VAP）, airway erosion, damage to the vocal cords, glottis edema, tracheal necrosis and ulceration of the observation group were significantly lower than the control group （ P 〈0.05）. The based care, intensive care, ward management, document management, focusing on aspects of management, emergency medicine management and overall quality of care score of the observation group were higher than the control group （P〈0.05）. The duration of mechanical ventilation, ICU stay, average hospital stay of the observation group were less than the control group, while patient satisfaction scores were higher than the control group（P〈0.05）. Conclusion Innovative care process model can effectively improve the quality of care for ICU patients receiving mechanical ventilation, reduce patient morbidity, shorten duration of mechanical ventilation of patients, improve patient outcomes, and increase patient satisfaction.
出处
《中国煤炭工业医学杂志》
2015年第10期1747-1750,共4页
Chinese Journal of Coal Industry Medicine
关键词
创新型护理流程模式
重症监护病
机械通气
护理质量
并发症
Innovative care process model
Intensive care
Mechanical ventilation
Quality of care
Complications
