分級護(hù)理管理模式聯(lián)合心理干預(yù)在肝膽外科護(hù)理中的應(yīng)用

齊玉霞 臧穎

摘要：目的 ?觀察早期預(yù)警評分在ICU護(hù)理工作中的作用及效果。方法 ?選擇2018年6月～2019年6月在我院ICU治療的患者144例，采用隨機(jī)數(shù)字表法分為對照組和觀察組，各72例。對照組采用常規(guī)護(hù)理，觀察組應(yīng)用早期預(yù)警評分進(jìn)行護(hù)理，比較兩組意外事件發(fā)生率、并發(fā)癥發(fā)生率、平均ICU留住時間、護(hù)理滿意度。結(jié)果 ?觀察組意外事件發(fā)生率為6.94%，低于對照組的18.05%，并發(fā)癥發(fā)生率為8.33%，低于對照組的23.61%，差異均有統(tǒng)計學(xué)意義（P<0.05）;觀察組ICU留住時間為（7.13±2.16）d，短于對照組的（11.01±2.98）d，差異有統(tǒng)計學(xué)意義（P<0.05）;觀察組護(hù)理滿意度為98.61%，高于對照組的81.94%，差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 ?早期預(yù)警評分在ICU護(hù)理中具有重要的作用，可降低意外事件和并發(fā)癥發(fā)生率，縮短ICU入住時間，提高臨床護(hù)理滿意度，具有良好的臨床應(yīng)用效果。

關(guān)鍵詞：早期預(yù)警評分;ICU護(hù)理;意外事件

中圖分類號：R473 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻(xiàn)標(biāo)識碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DOI：10.3969/j.issn.1006-1959.2019.21.059

文章編號：1006-1959（2019）21-0174-02

Abstract：Objective ?To observe the role and effect of early warning scores in ICU care work. Methods ?A total of 144 patients who were treated in our hospital from June 2018 to June 2019 were enrolled. The patients were divided into the control group and the observation group by random number table， 72 cases each. The control group received routine nursing， and the observation group used early warning scores for nursing. The incidence of accidents， the incidence of complications， the average ICU retention time， and the satisfaction of nursing were compared. Results ?The incidence of accidents in the observation group was 6.94%， which was lower than that of the control group 18.05%. The complication rate was 8.33%， which was lower than that of the control group 23.61%，the difference was statistically significant （P<0.05）. The retention time was （7.13±2.16）d， which was shorter than that of the control group （11.01±2.98）d，the difference was statistically significant （P<0.05）. The nursing satisfaction of the observation group was 98.61%， which was higher than 81.94% of the control group，the difference was statistically significant （P<0.05）. Conclusion ?Early warning score plays an important role in ICU care， which can reduce the incidence of accidents and complications， shorten the ICU stay time， improve clinical nursing satisfaction， and have good clinical application results.

Key words：Early warning score;ICU care;Accident

ICU患者屬于特殊群體，通常伴有嚴(yán)重基礎(chǔ)疾病、組織損傷、器官功能障礙、巨大潛在風(fēng)險等，其病情兇險，病死率和致殘率高。由于患者的特殊性，對其護(hù)理工作的要求也更高，在護(hù)理過程中可能面臨各種突發(fā)情況，容易出現(xiàn)護(hù)理差錯，進(jìn)而影響患者的健康安全。因此，改變傳統(tǒng)護(hù)理模式，對提高護(hù)理質(zhì)量具有重要的作用。相關(guān)研究顯示[1]，采用早期預(yù)警評分對患者的生理指標(biāo)進(jìn)行評定和評價，并給予針對性的護(hù)理干預(yù)方法，有助于獲得最佳的護(hù)理效果。本研究結(jié)合2018年6月～2019年6月在我院ICU治療的144例患者臨床資料，觀察早期預(yù)警評分在ICU護(hù)理工作中的應(yīng)用效果，現(xiàn)報告如下。