摘要
目的 探讨危重症专科小组运作方式在提高呼吸道护理质量中的应用和效果.方法 将106例行气管插管患者实施专科小组运作后57例为实验组,实施专科小组运作前49例为对照组.实验组建立危重症专科小组定期组织查房、会诊指导、制定工作指引及护理质量标准和评价指标,对危重症患者的护理质量进行三级全程监控;对照组采取常规的护士长查房指导,护理部督导检查二级监控.以呼吸机相关肺炎及呼吸道护理意外发生率作为危重症患者护理质量观察指标之一.结果 实验组呼吸机相关肺炎及呼吸道护理意外发生率比对照组明显降低,差异有统计学意义（7.70%vs 20.04%,χ2=4.51,P＜0.05;10.52%vs 26.53%,χ2=5.69,P＜0.05）;每月护士解决的护理问题及护理投诉均比对照组多,差异均有统计学意义（P＜0.05）;医生及患者对护理工作的满意度也比对照组提高了（P＜0.05）.结论 危重症专科小组运作方式有利于加强护士的危重症专业能力,规范临床危重症呼吸道护理管理,提高呼吸道的护理质量.
Objective To investigate the role and effect of critical cases specialist group＇ s operation mode on the nursing quality of respiratory tract. Methods Totally 106 tracheal intubation patients were selected for experiments. 57 cases that use specialist group＇s operation mode are in experimental group;and others are in control group, which don＇ t use specialist group＇ s operation mode. For experimental group, critical cases specialist group was established to organize regular patient rounds, instruct consultations, formulate work direction and nursing quality standards and evaluation indexes;the critical cases of patients with nursing quality were evaluated with three-tier process monitoring;while control group were treated with traditional head nurse rounds guidance, nurses supervision inspection second-level monitoring. This research chose the accident rate of ventilator-associated pneumonia and respiratory care to be one index of the nursing quality for critical cases.Results Ventilator related pneumonia （VAP） and take off tube incidence reduced significantly, the differences were statistically significant （7. 70% vs 20.04%, χ2 = 4. 51, P 〈 0. 05;10. 52% vs 26.53 %, χ2 = 5.69, P 〈0. 05）. The nursing problems and nursing complaints solved by nurses were more than the control group（P 〈0. 05）;Doctors＇ and patients＇ satisfaction with nursing care were also improved （P 〈0. 05）. Conclusions Critical cases specialist group＇ s operation mode can improve the professional skill of nurses for critical cases;formulate nursing management of clinical critical cases respiratory nursing;improve the nursing quality of respiratory tract.
出处
《中华现代护理杂志》
2011年第11期1306-1308,共3页
Chinese Journal of Modern Nursing
基金
深圳市科技计划项目（201003005）
关键词
危重症小组
呼吸道护理
质量管理
Critical cases specialist groups
Respiratory nursing
Nursing management
