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目的探讨医护患一体化管理模式在神经重症监护病房(Neurosurgery Intensive Care Unit,NICU)躁动患者医用管道安全管理中的效果。方法选择施行医护患一体化管理模式前(2013年5月17日—11月22日)入住NICU的133例躁动患者(对照组)与施行医护患一体化管理模式后(2014年5月17日—11月22日)入住NICU的119例躁动患者(研究组),比较其医用管道意外拔管情况。结果研究组各种医用管道的意外拔管率均低于对照组,其中研究组与对照组患者的尿管意外拔管率(0.67%、4.32%)、胃管意外拔管(2.26%、10.14%)、气管插管意外拔管(1.08%、7.84%)和动脉置管意外拔管率(1.12%、6.93%)比较差异有统计学意义(P<0.05)。结论医护患一体化管理模式能有效地降低神经重症伴躁动患者的意外拔管发生率,减少护理差错及医患/护患纠纷的发生,确保躁动患者在NICU住院期间治疗和护理的安全进行。
Objective To explore the effect of integrated management of patients and patients in medical pipeline safety management in patients with agitation of neurosurgery Intensive Care Unit (NICU). Methods Before implementing the integrated management mode of healthcare and patients (May 17, 2013-November 22, 2013), 133 patients with agitation (control group) admitted to the NICU and the integrated management mode of healthcare and patients (May 17, 2014 Nov. 22) 119 patients with agitation (study group) admitted to the NICU were enrolled in this study to compare the accidental extubation of medical tubing. Results The accidental extubation rates of various medical conduits were lower in the study group than those in the control group. The accidental extubation rate (0.67%, 4.32%), accidental extubation (2.26%, 10.14) in the study group and the control group %). The rates of accidental extubation (1.08%, 7.84%) and accidental extubation (1.12%, 6.93%) of endotracheal intubation were significantly different (P <0.05). Conclusion The integrated management model can effectively reduce the incidence of accidental extubation in patients with severe neurological symptoms and agitation, reduce nursing errors and the occurrence of doctor / nurse disputes, and ensure the safety of restless patients during NICU inpatient treatment and care.