儿科重症监护过渡期护理模式的应用分析-中国护理管理.PDFVIP

护理安全 Nursing Safety 儿科重症监护过渡期护理模式的应用分析 李素明 苏慧敏 金萍 刘纯义 刘强 黄素兰 [ 摘 要] 目的：探讨实施过渡期护理模式对儿科重症监护患儿转入普通病房后的影响。方法：选取 2012 年5月至 2013 年 5月在我院 PICU治疗后转入普通病房的患儿 80 例作为观察组，采用过渡期护理模式；选取 2011年5月至 2012 年5月自PICU 转入普通病房的患儿 80 例未实施过渡期护理的患儿作为对照组，观察两组患者不良事件发生情况、重返 PICU率、出现心理紊 乱综合征情况、患儿及家属的满意度，并进行统计学分析。结果：实施过渡期护理模式的患儿，护理不良事件、重返 ICU率、 心理紊乱综合征发生率均低于对照组（P0.05），患儿及家属的满意度高于对照组（P0.05）。结论：对转入普通病房的患儿实 施过渡期护理模式管理，保持了护理工作的连续性和有效性，降低了各种不良事件的发生率、患儿重返 PICU率和心理紊乱综 合征的发生率，促进了患儿的康复，也提高了护理工作质量。 [ 关键词 ] 儿科重症监护室；过渡期护理模式; 过渡期护士 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.03.024 Application of the Transitional Care Model in pediatric intensive care / LI Suming, SU Huimin, JIN Ping, LIU Chunyi, LIU Qiang, HUANG Sulan // Pediatric Intensive Care Unit, Maternal and Child Health Hospital of Baoan District, Shenzhen, Guangdong province, 518133 China /// Chinese Nursing Management-2015,15(3): 342-344 [Abstract] Objective: To investigate the impact of implementing the transitional care model for children who transferred to a general ward from Pediatric Intensive Care Unit (PICU). Methods: Eighty children who did not get transitional care in the former stage (from May, 2011 to May, 2012) were treated as control group, while the other 80 cases who received transitional care (from May, 2012 to May, 2013) were selected as observational group. The adverse event incidence, PICU return rate, their mental status, and satisfaction of children and their family members were collected and analyzed. Results: The adverse events incidence, PICU return rate, the percentage of anxiety and depression were all lower in observational group as compared with control group (P0.05), while satisfaction score was higher in transitional care group (P0.05). Conclusion: The transitional care model could maintain the continuous and effective nursing car