学术论文

      4R 危机管理在重症监护病房机械通气患者中的应用效果

      Application effect of 4R crisis management in patients with mechanical ventilation in intensive care unit

      摘要:
      目的:探讨4R 危机管理在重症监护病房机械通气患者中的应用效果。方法选取在重症监护病房机械通气患者88例为研究对象,采用随机数字表法将研究对象分为观察组与对照组,每组44例。对照组患者给予基础护理干预,观察组给予4R 危机管理护理干预,对比两组患者在实施不同护理干预后压疮发生情况、预防效果、护理满意度、危机事件发生情况以及护理质量。结果观察组压疮发生率2.27%、预防有效率95.45%、危机事件发生率4.55%、护理满意度97.73%、护理质量评分(93.78±3.19)分,均明显优于对照组的20.45%、68.18%、47.73%、75.00%、(87.91±2.75)分,差异均有统计学意义(χ2=5.53、9.24、19.07、7.82,t =9.25,均 P <0.05)。结论4R 危机管理护理干预可有效改善 ICU 机械通气患者危机事件发生情况,提高患者护理质量以及护理满意度。
      Abstract:
      Objective To explore the application effect of 4R crisis management in patients with mechanical ventilation in intensive care unit(ICU).Methods 88 patients with mechanical ventilation in ICU were selected as the study subjects,by random number table method they were divided into observation group and control group, 44 cases in each group.The control group was treated with basic nursing intervention,the observation group received 4R crisis management of nursing intervention.After the implementation of different nursing intervention,the incidence of pressure ulcers,prevention effect and nursing satisfaction,crisis event occurrence and the quality of care were com-pared between the two groups.Results The incidence rate of pressure ulcers of the observation group was 2.27%, effectively preventive rate was 95.45%,the crisis event occurrence rate was 4.55% and nursing satisfaction rate was 97.73%,nursing quality score was (93.78 ±3.19)points,which were significantly better than those of the control groups[20.45%,68.18%,47.73%,75.00%,(87.91 ±2.75)points](χ2 =5.53,9.24,19.07,7.82,t =9.25,all P <0.05).Conclusion 4R crisis management nursing intervention can effectively improve the ICU mechanical ven-tilation patients crisis events,improve the quality of nursing and nursing satisfaction.
      作者: 李萍
      Author: Li Ping
      作者单位: 浙江省新华医院重症医学科, 浙江省杭州,310005
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日