摘要
目的 探讨567例急诊高龄危重患者院内转运不良事件的影响因素,为高龄危重患者的院内转运提供依据.方法 采用便利抽样法,选择2016年1月1日—12月31日就诊于首都医科大学附属北京同仁医院急诊科的高龄危重患者,采用院内高龄危重患者院内转运规范进行转运,对于转运过程中出现的不良事件进行分析.结果 转运途中出现不良事件的共181人（31.9%）,患者是否发生不良事件与性别、年龄、转运时长、转入科室类别无关,差异无统计学差异（χ2值分是1.59、0.13、0.00、7.73;P〉0.05）,与疾病分类、NEWS评分有关,差异有统计学意义（χ2值分别是11.78、4.58;P〈0.05）.结论 急诊危重患者在转运过程中不良事件发生率较高,应引起重视;急诊科护理人员转运前应科学评估患者疾病种类和NEWS评分,充分保障高龄患者的转运安全.
Objective To explore the influencing factors of intra-hospital transportation adverse events in 567 elderly critically ill emergency patients and offer references of the intra-hospital transportation for elderly critically ill patients.Methods With the convenience sampling method, elderly critical ill patients who were hospitalized in the Emergency Department of Beijing Tongren Hospital Affiliated to Capital Medical University from January 1, 2016 to December 31,2016 were selected. They were transported based on the intra-hospital transportation standard of intra-hospital elderly critically ill patients and the adverse events in the process of the transportation were analyzed.Results There were 181 patients with adverse events in the process of the transportation （accounted for 31.9% of the total number）. The occurrence of adverse events was not associated with the gender, the age, the transportation duration and the targeted department. There were no significant differences （χ2=1.59,0.13,0.00,7.73;P〉0.05）. The occurrence of adverse events was significantly associated with the disease classification and the NEWS score （χ2=11.78,4.58;P〈0.05）.Conclusions The incidence of adverse events in the intra-hospital transportation of elderly critically ill emergency patients is high, which should be paid attention to. The nurses in the emergency department should evaluate the disease classification and the NEWS of the patients scientifically before the transportation, in order to guarantee the transportation security of the elderly patients.
出处
《中华现代护理杂志》
2017年第29期3740-3744,共5页
Chinese Journal of Modern Nursing
基金
首都医科大学附属北京同仁医院科研基金资助课题（2014-YJJ-HLL-027）
关键词
护理
高龄
危重患者
院内转运
不良事件
Nursing care
Elderly
Critical ill patients
Intra-hospital transportation
Adverse events
