论文部分内容阅读
目的:探讨分析“安全·支持·合作”(secure,encourage,and collaboration,SEC)过渡期护理模式在ICU转出患者的应用效果,为提升重症患者的临床护理质量提供临床依据。方法:选择2015年1至12月在宜兴市人民医院ICU住院的93名患者作为对照组,按照常规的操作程序进行转科护理,选择2016年1至12月的97名患者作为观察组,实施以ICU联络护士(ICU liaison nurses,ICULN)为介导的SEC过渡期护理模式进行干预,评估并比较两组的过渡期护理措施评估表(care transitions measure,CTM)、干预前后的心理状态、家属满意度、患者满意度、接诊医护人员满意度、72 h ICU重返率及平均住院日。结果:两组患者干预前后焦虑自评量表(self-rating anx iety scale,SAS)及抑郁自评量表(self-rating depression scale,SDS)评分均有明显改善(P<0.05),且观察组患者改善程度更为显著(P<0.05);观察组在CTM各条目的得分、家属满意度、患者满意度及接诊医护人员满意度均明显高于对照组,在72 h ICU重返率及平均住院日明显低于对照组(P<0.05)。结论:SEC过渡期护理模式有利于提升过渡期的护理质量,降低负性心理,提高患者、家属及接诊医护人员的满意度,且能在一定程度上改善临床治疗结局。
Objective: To explore the application effect of the transitional nursing model of “SEC, SEC (secure, encourage, and collaboration)” in transferring patients out of the ICU and provide a clinical basis for improving the quality of clinical nursing in critically ill patients. Methods: Ninety-three patients hospitalized in ICU of Yixing People’s Hospital from January to December 2015 were selected as the control group. According to the routine operation procedure, 97 patients were selected as the observation group and were selected as the observation group. The ICU inter-nurse (ICULN) -mediated transitional care regimen was used to intervene to assess and compare the caretaking measure (CTM), psychological status before and after intervention, family members Satisfaction, Patient Satisfaction, Medical Staff Satisfaction, 72 h ICU Reintegration Rate and Average Hospital Stay. Results: Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of both groups were significantly improved before and after intervention (P <0.05) (P <0.05). The score of CTM, satisfaction of family members, patient satisfaction and the satisfaction degree of medical staffs in the observation group were significantly higher than those in the control group. The ICU re-entry rate And the average hospital stay was significantly lower than the control group (P <0.05). Conclusion: The transitional care model of SEC is helpful to improve the quality of nursing during the transitional period, reduce the negative psychology, improve the satisfaction of patients, family members and medical staffs, and can improve the clinical outcome to a certain extent.