胸心外科危重患者术后转运的护理安全管理相关探讨

摘要

目的：评估在转运胸心外科术后危重患者的途中施行系统化安全管理的效果。方法选择2015年1月—2016年1月入该院并施行胸心外科手术的65例危重型患者，随机将其分成对照和研究组，对照组32例在术后转运途中施行一般性的管理服务模式，研究组33例在术后转运途中施行系统化的安全管理护理模式，经探究两种管理模式的践行情况，评估安全护理管理的价值。结果研究组33例转运结束后，共出现3次事故，占比9.09%；对照组32例转运结束后，共出现10次事故，占比31.25%。对比得知，研究组转运途中医疗事故及不良问题的出现率低于对照组，差异有统计学意义(P﹤0.05)。研究组共有32例对该次转运护理表示满意，占比96.97%；对照组共有23例对该次转运护理表示满意，占比71.88%。研究组优越于对照组，差异有统计学意义(P﹤0.05)。结论对胸心外科手术后的危重型患者实施转运时，需从转运工作的各个环节着手，将科学防护措施落实到具体操作中，并注重提升各岗医护人员的转运防护意识及操作技能，以优化术后重症患者转运服务的总体质量。%Objective To evaluate the effect of the implementation of system safety management in critically severe patients after the cardiothoracic surgery in transfer. Methods 65 cases of critically severe patients admitted in our hospital and im-plementing the cardiothoracic surgery from January 2015 to January 2016 were selected and randomly divided into two groups, the control group (32 cases) implemented general management service model in postoperative transfer, the research group (33 cases) implemented system safety management nursing model in postoperative transfer, and the safety nursing management value was assessed after the study of the implementation of these two management models. Results After trans-fer, there were 3 accidents, accounting for 9.09% in the research group; after transfer, there were 10 accidents, accounting for 31.25% in the control group, and the comparison showed that the incidence rates of medical accident and adverse prob-lems in transfer were lower than those in the control group, and the differences were obvious (P<0.05), the satisfactory rate in the research group was better than that in the control group (32 cases vs 23 cases) (96.97% vs 71.88%), and the differ-ence was big(P<0.05). Conclusion We should implement scientific prevention measures into the specific operation and pay attention to improving transfer prevention awareness and operation skill of medical staff in various positions from various links of transfer work in order to optimize the total quality of transfer service in postoperative severe patients when the criti-cally severe patients are transferred after cardiothoracic surgery.