【摘要】 目的:探讨规范化护理质量管理对心外ICU术后患者的影响。方法:将176例心外ICU术后患者按入院时间分为对照组78例和实验组98例。对照组给予常规护理,实验组使用心外ICU规范化护理质量管理模式。观察、比较两组护理效果。结果:实验组医源性损伤、ICU谵妄、非计划拔管发生率低于对照组(P<0.05);实验组气管插管留置时间、留住ICU时间少于对照组(P<0.05);患者满意度评分实验组高于对照组(P<0.05);两组护理并发症发生率比较差异无统计学意义(P>0.05)。结论:规范化护理质量管理可有效提高心外ICU术后患者护理安全和护理质量,节约医疗护理资源,具有良好社会效益。更多还原

【Abstract】 Objective:To investigate the impact of standardized management of nursing quality on the patients after surgery in the ICU of the department of cardiac surgery.Methods:176 postoperative patients in the ICU were divided into control group(n=78) and experimental group(n=98) by the time of hospitalization.The routine nursing care was taken in the control group and the standardized ICU management model of nursing quality was applied in the experimental group.The effect of nursing care was observed and compared between the two groups.Results:The iatrogenic injury,delirium in ICU and incidence of unplanned extubation were less and lower in the experimental group than those in the control group(P<0.05);the indwelling time of catheter and the length of patient’s staying in ICU were shorter than the control group(P<0.05);the scores of patient’s satisfaction were higher in the experimental group than the control group(P<0.05);the difference in the comparison of the incidence of complications were not statistically significant(P>0.05).Conclusion:The standardized management of nursing quality can effectively enhance the safety and quality of nursing care in the ICU of the department of cardiac surgery,which can also save medical and nursing resources.更多还原