使用EGDTBundleBox的临床模拟研究.docVIP

使用EGDT Bundle Box的临床模拟研究 何静 潘红 贺丽君 钱淑媛 朱艳萍 东南大学附属中大医院重症医学科 [摘要] 目的 减少医护人员实施EGDT时的用物准备时间。方法 随机选择2010年07月某2天我科工作的医护人员共44人，其中医生22名（包括本院固定医生，医学研究生临床实习生及进修学习人员），护士22名，经两种途径准备同一种物品。从常规放置物品处准备物品为对照组，从自行设计的EGDT Bundle Box准备物品为实验组，记录各自取物时间，比较不同途径、不同人群物品准备所需的时间的差异。结果 实验组全体医生护士物品准备所需时间（27±28.9）秒/次显著低于对照组（103.6±114.4）秒/次，P＜0.01，其中医生每次物品准备所需时间（62.5±13.8）秒显著低于对照组（232.9±101.2）秒，P＜0.01；护士物品准备所需时间（8.1±3.2）秒/次显著低于对照组（34.0±15.9）秒/次， P＜0.01。将进修生和研究生合为非固定人员组，其单次物品准备的时间为（62.5±14.7）秒显著低于对照组（235.3±104.7）秒，单次取物非固定人员节约时间（194.61±104.98）秒，明显高于固定人员节约的时间（32.29±25.98）秒，P＜0.01，有统计学意义。 结论 EGDT Bundle Box的使用显著缩短了用物准备时间，有利于EGDT的早期实现。 [关键词] 感染性休克；EGDT Bundle Box The survey in the simulated use of EGDT Bundle Box HE jing PAN hong HE li-jun QIAN shu-yuan ZHU yan-ping Department of critical care medicine, southeast university ZHONG-DA hospital [Abstract] Object To reduce the preparation times for early goal-directed therapy (EGDT). Method 44 staffs whom included 22 doctors (ICU doctors、interns、medical graduates、further doctors) and 22 nurses prepared for the same thing in different ways in two days of July 2010 . The preparation times were recorded in the control group (get items from routine places) and the experimental group (get items from the EGDT Box), the difference in preparation times between different ways and peoples was analyzed. Result The preparation time for EGDT in experimental group（27±28.9s）were shorter than the control group(103.6±114.4s)(P0.01), either doctors or nurses. The preparation time that unfixed staff (further doctors and medical graduates) spent in experimental group（62.5±14.7s）were shorter than the control group(235.3±104.7s)(P0.01). At the same time, the times that unfixed staff（194.61±104.98s）saved were shorter than the fixed staff (32.29±25.98s)(P0.01). Conclusion EGDT Bundle Box significantly shortened the preparation time and helpful for the early realization of EGDT. [Key words] septic shock EGDT Bundle Box 严重感染、感染性休克和多脏器功能障碍综合征是当前重症医学科病人主要死亡原因之一,国内报道病死率在30