医院护士对危重症患者管理的护理技能评估
Nursing Skill Assessment of Hospital Nurses in Management of Critically Ill Patients.
作者信息
Xu Lingli, Sun Qiyu, Feng Jiayi, Huang Li Jing, Xu Chunjing, Shen Weihong, Ding Jian, Jin Yongmei
机构信息
Intensive Care Unit, Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine, China.
Department of Traditional Medicine, Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine, China.
出版信息
Appl Bionics Biomech. 2022 Aug 29;2022:1497847. doi: 10.1155/2022/1497847. eCollection 2022.
OBJECTIVE
To analyze the application of standardized nursing procedures in critically ill patients' nursing evaluation.
METHODS
90 cases of critically ill patients aged from 18 to 65 who were treated in our hospital from April 2020 to April 2021 were selected and divided into the control group and observation group, respectively, with 45 cases according to the drawing method. The rescue time, blood pressure, heart rate before and after nursing, adverse mood, length of stay, incidence of adverse events, ICU transfer and death, and satisfaction of 2 groups were statistically analyzed and compared.
RESULTS
The rescue time of cardiopulmonary resuscitation, oxygen inhalation, venous opening, and endotracheal resuscitation in the observation group was 3.24 ± 1.01, which is lower than that in the control group, 6.65 ± 2.11, with statistical significance ( < 0.05). Similarly, the vital signs in the observation group were 2.45 ± 0.44, which is also significantly lower than that in the control group, 5.67 ± 1.56. After nursing, the blood pressure and heart rate in the observation group were lower than those in control group, with statistical significance ( < 0.05). The adverse mood of the observation group after nursing was lower than that of the control group, with statistical significance ( < 0.05). The length of stay, incidence of adverse events, intensive care unit (ICU) transfer, and death in the observation group were lower than those in the control group, with statistical significance ( < 0.05). The length of stay in the observation group was 8.87 ± 2.11, while 11.34 ± 2.45 in the observation group. The incidence of adverse events in the observation group was 1, while 8 in the observation group. The length of stay in the observation group was 8.87 ± 2.11, while 11.34 ± 2.45 in the observation group. The ICU transfer in the observation group were 2, while 9 in the observation group. There was no death in the observation group, however, 4 in the observation group. Nursing satisfaction in the observation group was higher than that in the control group, with statistical significance ( < 0.05). The number of patients that are very satisfied in the observation group was 28, while 20 in the control group. The number of patients that are satisfied in the observation group was the same as in the control group, both 15. However, the number of patients that are dissatisfied in the observation group was 2, while 10 in the control group.
CONCLUSION
The application of the standardized nursing process in the nursing of critically ill patients can not only effectively reduce the self-rating anxiety scale (SAS) and sarcoidosis diagnostic score (SDS) of patients but also reduce the incidence of complications and improve the nursing satisfaction of patients.
目的
分析标准化护理程序在重症患者护理评估中的应用。
方法
选取2020年4月至2021年4月在我院接受治疗的90例年龄在18至65岁之间的重症患者，按抽签法分为对照组和观察组，每组45例。对两组患者的抢救时间、护理前后的血压、心率、不良情绪、住院时间、不良事件发生率、转入重症监护病房（ICU）及死亡情况以及满意度进行统计分析和比较。
结果
观察组心肺复苏、吸氧、静脉开通及气管插管的抢救时间为3.24±1.01，低于对照组的6.65±2.11，差异有统计学意义（<0.05）。同样，观察组的生命体征为2.45±0.44，也显著低于对照组的5.67±1.56。护理后，观察组的血压和心率低于对照组，差异有统计学意义（<0.05）。观察组护理后的不良情绪低于对照组，差异有统计学意义（<0.05）。观察组的住院时间、不良事件发生率、转入ICU及死亡率均低于对照组，差异有统计学意义（<0.05）。观察组的住院时间为8.87±2.11，而对照组为11.34±2.45。观察组的不良事件发生率为1例，而对照组为8例。观察组的住院时间为8.87±2.11，而对照组为11.34±2.45。观察组转入ICU的有2例，而对照组为9例。观察组无死亡病例，而对照组有4例。观察组的护理满意度高于对照组，差异有统计学意义（<0.05）。观察组非常满意的患者有28例，而对照组为20例。观察组满意的患者数量与对照组相同，均为15例。然而，观察组不满意的患者有2例，而对照组为10例。
结论
标准化护理程序在重症患者护理中的应用不仅能有效降低患者的自评焦虑量表（SAS）和抑郁自评量表（SDS）评分，还能降低并发症的发生率，提高患者的护理满意度。
需注意，原文中多次出现“观察组”和“对照组”表述混乱的情况，译文已尽量按照合理逻辑呈现，但原文此处存在错误。另外，原文中“sarcoidosis diagnostic score (SDS)”可能有误，结合语境推测此处应该是“Self-rating Depression Scale (SDS)”（抑郁自评量表）。
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