医护合作方案对急诊患者镇痛镇静效果影响.docVIP

医护合作方案对急诊患者镇痛镇静效果影响 　　[摘要] 目的 探讨医护合作方案对急诊患者镇痛镇静效果的影响。 方法 选取2013年1～12月在我院接受急诊抢救的103例患者作为对照组，选择2014年1～12月在我院接受急诊抢救的118例患者作为实验组；对照组采用传统医护模式，实验组采用医护合作模式，采取医生护士共同学习、共同决策、适时沟通的合作方式对镇痛镇静进行安全管理。比较采用这种医护合作方案与普通的医护模式对镇痛镇静效果的影响，两组患者的死亡率与平均住院时间及两组患者、护士、医生的满意度。 结果 实验组患者PSA落实情况明显优于对照组，且与镇静镇痛相关性疾病的发生率较低，差异均有统计学意义（P0.05）。实验组患者的死亡率低于对照组，且平均住院时间少于对照组，差异均有统计学意义（P0.05）。实验组患者和主治医生、责任护士的满意度均高于对照组，差异均有统计学意义（P0.05）。 结论 医护合作方案在针对患者镇痛镇静的作用中优于传统的医护模式，在急诊病房中优势明显，值得推广应用。 　　[关键词] 医护合作；急诊患者；镇痛镇静 　　[中图分类号] R473.6；R614 [文献标识码] B [文章编号] 1673-9701（2015）14-0096-04 　　[Abstract] Objective To explore the analgesic and sedative effect of doctor-nurse cooperative care plan for emergency patients. Methods A total of 103 patients receiving emergency care in our hospital from January to December 2013 were included as a control group and 118 patients receiving care from January to December 2014 were included as the experimental group. The control group was given traditional health care and the experimental group was given doctor-nurse cooperative care， in which doctors and nurses learnt together， shared decision-making and communicate timely. The analgesic and sedative effect of both groups were compared as well as the average length of stay， mortality and patients， nurses and doctors satisfaction. Results PSA implementation was significantly better in the experimental group than in the control group and the experimental group also had significantly lower incidence of sedation-related diseases （P0.05）. The mortality rate of patients in the experimental group was significantly lower than in the control group and the average length of stay was significantly shorter （P0.05）. Patients， attending physicians and nurses satisfaction were also significantly higher in the experiment group （P0.05）. Conclusion The doctor-nurse cooperative care plan has better analgesic and sedative effect than traditional care models and has obvious advantages in the emergency ward， thus it should be widely applied. 　　[Key words] D