Nurse Relations Cooperative Behavior Safety Management Inten

  本文关键词：医护合作策略在ICU镇痛和镇静安全管理中的应用，由笔耕文化传播整理发布。

医护合作策略在ICU镇痛和镇静安全管理中的应用

Application of physician-nurse cooperation style in safety management of patients treated with sedatives and analgesics in ICU

[1] [2] [3] [4] [5] [6]

FENG Jie-hui,XU Jian-ning,FANG Qiang,FANG Xue-ling,GAO Chun-hua,YU Chao

[1]浙江大学医学院附属第一医院综合ICU,杭州市310003; [2]浙江中医药大学护理学院,杭州市310003;

文章摘要：目的探讨一种科学的镇痛、镇静管理方法，以确保ICU镇痛、镇静治疗的安全实施。方法2012年1～12月采用医护合作策略，包括医护共同参与培训、共同决策实施方法、采用标准化沟通方式及共同讨论差错隐患等，对镇痛、镇静治疗进行安全管理，比较应用该策略前后的效果。结果应用医护合作管理策略后．医生、护士合作状况平均得分及程序化镇痛、镇静治疗的落实率均高于实施前，差异有统计学意义（P〈0．01）。镇痛、镇静不足导致气管插管和气切套管非计划拔管发生率低于实施前，差异有统计学意义（P〈0．05）。镇痛、镇静过度导致呼吸机相关性肺炎的感染率低于实施前，差异无统计学意义（P〉0．05），结论医护合作策略在镇痛、镇静安全管理中具有优势作用．ICU护士在实施过程中具有不可替代的地位，

Abstr：Objective To explore a scientific management method for patients treated with sedalives and analgesics in the Intensive Care Units（ICU）,in order to ensure patient safety. Methods Physician-nurse cooperative style was applied in the managenmnt of patients who received sedatives and analgesics from January to December 2012. The measures included co-training of physicians and nurses, joint decision-making on medication administration, implementation of procedural sedation and analgesia（PSA）, and diseussion on the risks of medical etTors tngether. Results After implementing physieian-nurse cooperative methods, the stoics of physician-nurse collal）oration and the rate nf PSA increased signifieantly （P〈0.01） ; the ineidenee of unplanned extuhation （UE） de-creased signifieantly（P〈0.05）. Conclusion The application of physician-nurse cooperative style can effectively impruve the quality of sedation and analgesia and ensure patient safety. ICU nurses play an important role in the implementation of sedation and analgesia.

文章关键词：

Keyword：:Physician-Nurse Relations Cooperative Behavior Safety Management Intensive Care Units Analgesia Sedation

  本文关键词：医护合作策略在ICU镇痛和镇静安全管理中的应用，由笔耕文化传播整理发布。