[1]关亚庆张晓阳闫淑娟王蕾黄田张吴玉燕.构建神经外科ICU危重患者过渡期Y型路径标准化护理模式[J].中国卫生质量管理,2020,27(06):096-102.[doi:10.13912/j.cnki.chqm.2020.27.6.24]
　GUAN Yaqing,ZHANG Xiaoyang,YAN Shujuan,et al.Constructing the Transitional Period Y-Type Pathway Standardized Nursing Model for Critical ICU Patients in Neurosurgery Department[J].Chinese Health Quality Management,2020,27(06):096-102.[doi:10.13912/j.cnki.chqm.2020.27.6.24]
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构建神经外科ICU危重患者过渡期Y型路径标准化护理模式
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第27卷
期数:
2020年06期
页码:
096-102
栏目:
QC小组平台
出版日期:
2020-11-28

文章信息/Info

Title:
Constructing the Transitional Period Y-Type Pathway Standardized Nursing Model for Critical ICU Patients in Neurosurgery Department
作者:
关亚庆张晓阳闫淑娟王蕾黄田张吴玉燕
空军军医大学第二附属医院
Author(s):
GUAN Yaqing; ZHANG Xiaoyang; YAN Shujuan; et al
Second Affiliated Hospital of Air Force Military Medical University
关键词:
品管圈; 课题研究型品管圈; ICU; 过渡期; 标准化护理; 护理质量
Keywords:
Quality Control Circle; Research-Oriented Quality Control Circle;  ICU; Transition Period;  Standardized Care;  Nursing Quality
分类号:
R197.323；R47
DOI:
10.13912/j.cnki.chqm.2020.27.6.24
文献标志码:
B
摘要:
按照课题研究型品管圈活动步骤，从普通病房、神经外科ICU、社区医院等方面了解ICU危重患者过渡期护理现状，重点发掘评估、转运、交接、回访等环节，针对存在问题，从组织与培训、多学科协作、标准化干预、护理模式等方面改进。活动后，转运总耗时由51.96min缩短至26min，ICU重返率由7.18%下降至4.76%，ICU后综合征发生率由68.21%下降至52.16%，降低了不良事件发生风险，保障了患者安全，临床效果显著。
Abstract:
According to the activity steps of research-oriented quality control circle, the current situation of transitional care was investigated from general wards, neurosurgical ICU, community hospitals and other aspects, and it was focused on the evaluation, transfer, handover, return visit and other links. In view of existing problems, improvements were made from aspects of the organization and training, multidisciplinary collaboration, standardized intervention, nursing mode, etc. After the activity, the total transport time was shortened from 51.96 min to 26 min, the ICU re-entry rate was reduced from 7.18% to 4.76%, and the incidence of post-ICU syndrome was reduced from 68.21% to 52.16%, which reduced the risk of adverse events, ensured the safety of patients, and achieved significant clinical effects.

参考文献/References:

［1］赵辉，姜海燕，范志红．标准化沟通模式在ICU患者转出交接中的应用［J］．护理管理杂志，2015，15（1）：53-54.

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