风险评估表用于EICU转至急诊留观室脑血管病患者过渡期应用效果的研究

目的 探讨潜在风险评估表应用于EICU转至急诊留观室重度脑血管病患者过渡期护理应用效果的研究.方法 选取200例2015年1月至2015年6月EICU转至急诊留观室重度脑血管病患者作为对照组,200例2015年7月至2015年12月EICU转至急诊留观室重度脑血管病患者作为评估组,评估组采用护理部于2015年7月制定的三种潜在风险评估表作为评估工具,实行更加有针对性的护理措施.结果 评估组抢救成功率、患者满意度明显高于对照组.评估组意外拔管、误吸、肺部感染、呼吸衰竭、MODS发生率、应激性溃疡发生率均低于对照组.比较两组数据差异有统计学意义(P＜0.01).结论 风险评估表应用于EICU转至急诊留观室重度脑血管病的患者,及早发现了患者病情变化,为患者抢救争取了黄金时间,避免了并发症的发生,保证了医护安全,提高了医护质量,提高了满意度,实用有效.

Study in the validity of risk assessment table used for patients with cerebrovascular disease referred from EICU to ward observation room to assess the risk during the transition period

Objective To explore the validity of the potential risk assessment table used for patients with severe cerebrovascular disease referred from EICU to ward observation room under intensive nursing care to assess the risk during the transition period.Methods There were two groups of patients with severe cerebrovascular disease referred to ward observation room from EICU (n =200 in each).The patients of first group admitted from January 2015 to June 2015 as a control group,and the patients of second group were admitted from July 2015 to December 2015 as a assessment group.The potential risk assessment table was developed by the Nurse Department in July 2015 based on three kinds of risky morbidity to be susceptible to in those patients and the specific nursing strategy was worked out to deal with these kinds of morbidity.Results Compare with control group,the success rate of resuscitation and patients' satisfaction were significantly higher in assessment group.The unexpected extubation,aspiration,lung infections,respiratory failure,the incidence of MODS,stress ulcer incidence in assessment group were lower than those in control group (P ＜0.01).Conclusions The risk assessment table is practicable and useful for patients with severe cerebrovascular disease referred from EICU to ward observation room under intensive nursing care in respects of early detection of patients condition deteriorated,saving the golden time for resuscitation,avoidance of morbidity,guarantee of nursing safety,improving the quality of nursing care and the degree of patients' satisfaction.