[1]台瑞,方芳,杨富,等.综合重症监护室患者过渡期护理方案的构建与应用[J].解放军护理杂志,2021,38(03):10-13.[doi:10.3969/j.issn.1008-9993.2021.03.003]
　TAI Rui,FANG Fang,YANG Fu,et al.Design and Implementation of a Transitional Care Plan in Comprehensive Intensive Care Unit[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(03):10-13.[doi:10.3969/j.issn.1008-9993.2021.03.003]
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综合重症监护室患者过渡期护理方案的构建与应用()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年03期
页码:
10-13
栏目:
论著
出版日期:
2021-03-15

文章信息/Info

Title:
Design and Implementation of a Transitional Care Plan in Comprehensive Intensive Care Unit
文章编号:
1008-9993(2021)03-0010-04
作者:
台瑞1; 方芳1; 杨富1; 贾峥2
(1.上海市第一人民医院 护理部,上海 200080; 2.上海市第一人民医院 监护室)
Author(s):
TAI Rui1; FANG Fang1; YANG Fu1; JIA Zheng2
(1.Department of Nursing,Shanghai General Hospital,Shanghai 200080,China; 2.Intensive Care Unit,Shanghai General Hospital)
关键词:
ICU转出患者;  过渡期护理;  ICU重返率;  焦虑;  抑郁
Keywords:
patients transferred out of ICU;  transitional care;  rate of returning to ICU;  anxiety;  depression
分类号:
R473
DOI:
10.3969/j.issn.1008-9993.2021.03.003
文献标志码:
A
摘要:
目的 构建综合重症监护室(intensive care unit,ICU)患者过渡期护理方案并探讨其应用效果。方法 采用便利抽样法选取上海市某三级甲等医院2019年7-9月由综合ICU转出至普通病房的138例患者作为对照组,同法选择2019年10-12月转出的151例患者作为观察组,成立ICU过渡期护理小组,观察组患者接受ICU过渡期护理小组的ICU过渡期护理,对照组患者接受医院常规转科护理。比较两组患者的ICU重返率、ICU住院天数、总住院天数、不良事件发生率以及患者的焦虑、抑郁水平。结果 观察组患者的ICU重返率、总住院天数、抑郁得分及中文版医院焦虑抑郁评价量表(hospital anxiety and depression scale,HADS)得分均低于对照组,差异均有统计学意义(均P<0.05)。结论 实施ICU过渡期护理方案,能够有效降低综合ICU转出患者非计划ICU重返率,缩短住院天数,同时缓解患者的不良情绪。
Abstract:
Objective To design a transitional care plan in the comprehensive ICU and explore its application effects.Methods A total of 138 patients transferred from the comprehensive ICU to a general ward were conveniently sampled from a tertiary hospital in Shanghai City from July to September,2019 as the control group; 151 patients transferred from the comprehensive ICU were selected from October to December,2019 in the same way as the observation group.The ICU transitional care nursing group was established and provided ICU transitional care for the patients in the observation group.Patients in the control group received routine transfer nursing care.The rate of returning to ICU,length of stay in ICU,length of hospitalization,incidence of adverse events,level of anxiety and depression were compared between the patients in the two groups.Results The rate of returning to ICU,length of hospitalization,depression score and the score of the Chinese version of Hospital Anxiety and Depression Scale(HADS)in the observation group were significantly lower than those in the control group(all P<0.05).Conclusions Applying the ICU transitional care plan can effectively reduce the rate of unplanned returning to ICU among those patients transferred out of the comprehensive ICU,shorten the length of hospitalization,and alleviate the patients’ negative emotions.

参考文献/References:

[1] LUDIN S M,ARBON P,PARKER S.Patients’ transition in the intensive care units:concept analysis[J].Intensive Crit Care Nurs,2013,29(4):187-192.
[2] PETERS J S.Role of transitional care measures in the prevention of readmission after critical illness[J].Crit Care Nurse,2017,37(1):e10-e17.
[3] OFOMA U R,YUE D,GAJIC O,et al.A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit[J].BMC Health Serv Res,2018,18(1):1-9.
[4] CHABOYER W,JAMES H,KENDALL M.Transitional care after the intensive care unit:current trends and future directions[J].Crit Care Nur,2005,25(3):16-29.
[5] 刘娟,汤曼力.我国ICU病人过渡期护理的文献计量学分析[J].循证护理,2020,6(5):461-464.
[6] 台瑞,方芳,杨富,等.ICU过渡期护理方案的构建[J].中国实用护理杂志,2020,36(10):769-773.
[7] 汪向东.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:463-468.
[8] BALL C,KIRKBY M,WILLIAMS S.Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care:non-randomised population based study.[J].Intensive Crit Care Nurs,2004,20(4):236-238.
[9] 韩美玲,王芳,徐淑华,等.过渡期护理模式在重度颅脑损伤患者重症监护过渡护理中的应用效果[J].解放军护理杂志,2014,31(5):9-12.
[10]WILLIAMS T A,LESLIE G,FINN J,et al.Clinical effectiveness of a critical care nursing outreach service in facilitating discharge from the intensive care unit[J].Am J Crit Care,2010,19(5):e63-e72.
[11]CHABOYER W,THALIB L,ALCORN K,et al.The effect of an ICU liaison nurse on patients and family’s anxiety prior to transfer to the ward:an intervention study[J].Intensive Crit Care Nurs,2007,23(6):362-369.

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-07-22 【 修回日期 】 2021-03-04
【 基金项目 】 上海市卫生和计划生育委员会科研课题(20164Y0714); 上海市卫生计生系统重要薄弱学科建设项目(2015ZB0304)
【 作者简介 】 台瑞,硕士,护师,从事危重症护理研究
【 通信作者 】 方芳,电话:021-63240090-6239
更新日期/Last Update: 2021-03-15