摘要
目的了解ICU床边监护仪报警现状及影响因素,为建立更完善的报警管理制度提供基础。方法使用自行设计的调查表收集综合ICU床边监护仪连续7d的报警数据及报警处理记录,并收集参与调查的患者及床边护士基本资料。结果每例患者每天监护仪平均报警37次;错误报警率为65.4%,其中心律失常、呼吸、氧饱和度、血压、心率错误报警分别占各自报警总数的99.9%、86.7%、63.0%、51.9%、36.9%;有意义报警和需要通知医生的报警分别占总报警的2.5%、1.4%;床边护士对监护仪报警反应速度的中位数是40s,患者入ICU 24h内的APACHEⅡ评分、报警级别、报警时间段及床边护士的性别、年龄、职称和ICU工作年限影响床边护士对监护仪报警反应速度(P<0.05,P<0.01)。结论 ICU床边监护仪错误报警和无意义报警率高;床边护士对报警反应速度慢,报警倦怠存在于ICU;年龄大、职称高、工作年限长的床边护士亟需进行监护仪性能及报警制度的持续在职教育。
Objective To understand current status and influencing factors of bedside monitor alarms in ICU,and to provide data for establishment of perfect alarm regimen.Methods We utilized self-designed questionnaire to collect monitor alarms and relevant processing records in a comprehensive ICU for continuous 7days,we also collected the basic information of patients and bedside nurses who participated in the survey.Results The average monitor alarms for every ICU patient each day was 37 times.The false alarms accounted for 65.4% of all the alarms,the false alarms of heart rhythm,respiration,oxygen saturation,blood pressure and heart rate took up 99.9%,86.7%,63.0%,51.9% and 36.9% of the total alarms for each type;the meaningful alarms and the alarms which need to call doctor only accounted for 2.5% and 1.4% of all;the median of bedside nurses′reaction to monitor alarms was40 seconds,the APACHEⅡ score within 24 hours transited to ICU,alarm levels,time segment of alarms,nurses′gender,age,professional title and years of working in ICU affected nurses′reaction to monitor alarms（P〈0.05,P〈0.01）.Conclusion The rates of false alarms and meaningless alarms are high,while bedside nurses′reaction to alarms is slow,thus alarm fatigue exists for ICU nurses.The nurse with an older age,a higher professional title or working longer in ICU need continuous in-service education about the function of monitor and alarm regimen.
出处
《护理学杂志》
CSCD
2015年第24期20-22,26,共4页
基金
浙江大学医学院附属邵逸夫医院护理科研项目(201310HL)
