儿科急诊心电监护仪报警管理的循证实践.pdfVIP

循证护理

Evidence-basedNursing

儿科急诊心电监护仪报警管理的循证实践

乔姗姗时璇春晓马文成邓永芳林艳

[摘要]目的：根据心电监护仪报警管理的证据开展循证实践并评价其应用效果，为提升报警管理效果提

供参考。方法：以基于证据的持续质量改进模式为理论框架，于2023年3月—12月，按照证据获取、现状审查、

证据引入和效果评价流程将循证实践应用于广州市某三级甲等专科医院儿科急诊，比较循证实践前后心电监护仪

报警发生状况、护士报警疲劳水平、护士报警应答时间及审查指标执行率的差异。结果：最终纳入15条证据并转

化为15条审查指标。在进行循证实践后，心电监护仪错误报警发生率从75.99%降至44.27%；护士报警疲劳得

分从（20.97±5.22）分降至（16.67±8.28）分（P0.05）；护士心电监护仪报警应答时间从（396.95±109.06）s缩

短至（352.18±124.84）s（P0.01）。15条审查指标中，14条审查指标的执行情况明显改善。结论：将心电监护

仪报警管理的证据应用于临床护理实践，有助于减少无效报警的发生、缓解护士报警疲劳状况并提高报警管理

水平。

[关键词]心电监护仪报警；持续质量改进；循证实践；儿科急诊护理

[中图分类号]R47；R197[DOI]10.3969/j.issn.1672-1756.2025.02.017

Evidence-basedpracticeinthemanagementofECGmonitoralarmsinthepediatricemergencydepartment/QIAO

Shanshan,SHIXuan,CHUNXiao,MAWencheng,DENGYongfang,LINYan//DepartmentofPediatricEmergency,

GuangzhouWomenandChildrensMedicalCenter,GuangzhouMedicalUniversity,Guangzhou,510623,China///Chin

NursManag,2025,25(2):248-254

[Abstract]Objective:Toimplementevidence-basedpracticeandevaluateitseffectivenessbasedontheevidenceof

alarmmanagementofECGmonitor,soastoprovidereferenceforimprovingalarmmanagementstrategies.Methods:Using

thecontinuousqualityimprovementmodelofevidenceasatheoreticalframework,evidence-basedpracticewasapplied

tothepediatricemergencydepartmentofatertiarygradeAspecializedhospitalinGuangzhoufromMarchtoDecember

2023accordingtotheprocessofevidenceacquisition,currentstatusreview,evidenceintroduction,andeffectevaluation.

ThedifferencesofECGmonitoralarmsoccurrence,nursesalarmfatiguelevel,nursesalarmresponsetime,andreview

indicatorsimplementationratebeforeandaftertheevidence-basedpractice