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目的:探讨基于循证护理的标准化转运流程对神经外科危重症患者院内转运的影响。方法:采用便利抽样法,选取2019年1—12月于湖北省荆州市中心医院神经外科监护室住院,且完成院内转运至CT检查区域的危重症患者600例。按入院时间分为观察组和对照组,每组各300例。观察组基于循证的标准化转运流程进行转运护理,对照组接受常规转运护理。比较两组转运不良事件发生率、患者家属满意度。结果:观察组患者院内转运时突发抽搐或烦躁不安、血氧饱和度下降、血压/心率波动>20%、导管意外滑脱或堵塞、输液管脱管或堵塞、氧气不足、仪器设备故障、药品不足的发生率分别为1.3%(4/300)、7.0%(21/300)、4.7%(14/300)、0.3%(1/300)、8.3%(25/300)、0.3%(1/300)、0.7%(2/300)、0.3%(1/300),低于对照组的4.0%(12/300)、22.3%(67/300)、9.3%(28/300)、3.0%(9/300)、19.3%(58/300)、2.7%(8/300)、3.3%(10/300)、6.0%(18/300),差异均有统计学意义(n P<0.05)。观察组患者家属整体满意率为91.9%(262/285),高于对照组的69.0%(187/271),差异有统计学意义(n P 20%, accidental slippage or blockage of catheters, infusion tube was off or blocked, insufficient oxygen, equipment failure, insufficient medicines of hospital transfer in observation group were 1.3% (4/300) , 7.0% (21/300) , 4.7% (14/300) , 0.3% (1/300) , 8.3% (25/300) , 0.3% (1/300) , 0.7% (2/300) , 0.3% (1/300) , lower than 4.0% (12/300) , 22.3% (67/300) , 9.3% (28/300) , 3.0% (9/300) , 19.3% (58/300) , 2.7% (8/300) , 3.3% (10/300) , 6.0% (18/300) in control group, the differences were statistically significant (n P<0.05) . The overall satisfaction of patients' family members in observation group was 91.9% (262/285) , which was higher than 69.0% (187/271) in control group, and the difference was statistically significant (n P<0.01) .n Conclusions:The implementation of an evidence-based standardized transfer process can effectively reduce the incidence of adverse events during the transfer in critically ill patients of neurosurgery and improve the satisfaction of patients' family members.