管道风险评估表在心内科监护室的应用

目的 探讨管道风险评估表在预防心内科置管患者导管滑脱的应用效果.方法 将276例带多种管道患者随机分为对照组136例和观察组140例,对照组采用常规方法进行护理,观察组使用管道风险评估表评估患者并根据风险分级进行预见性护理,比较两组患者管道滑脱率及管道安全事件发生率.结果 观察组患者管道总脱落率为2.26％,对照组为11.73％,两组比较差异有统计学意义（Z=-4.831,P=0.000）；观察组患者发生管道安全事件发生率为6.48％,对照组发生率为25.23％,组间比较差异有统计学意义（x2=-49.632,P=0.000）.结论 应用管道风险评估表能最大程度降低管道脱落风险,提高了心内科护士风险识别和处理能力.

Application of catheter risk assessment scale in the department of cardiology ICU

Objective To explore the application effect of catheter risk assessment scale on the prevention of catheter slippage in patients with catheterization in the department of cardiology.Methods A total of 276 patients with a variety of catheters were randomly divided into the control group with 136 patients and the observation group with 140 patients.The patients in the control group were given the routine nursing methods.The patients in the observation group were evaluated by using catheter risk assessment scale and given predictive nursing according to the risk classification.The incidences of catheter slippage and security events were compared between the two groups.Results The total incidences of catheter slippage in the observation group was 2.26％,and 11.73％ in the control group,there was statistically significant difference between the two groups （Z =-4.831,P =0.000） ; The incidences of security events in the observation group was 6.48％,and 25.23％ in the control group,there was statistically significant difference between the two groups （x2 =-49.632,P =0.000）.Conclusions The application of catheter risk assessment scale can minimize the risk of catheter slippage,and improve the ability of risk identification and processing of nurses in department of cardiology.