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目的:探讨预见性护理措施在重症颅脑损伤患者院内转运中的应用效果,为加强重症患者院内转运的安全管理提供参考。方法:选择2014年1~5月在湖州市中心医院进行治疗的重症颅脑损伤患者150例为对照组;2014年6~10月在湖州市中心医院治疗的160例重症颅脑损伤患者为干预组。对照组按常规程序进行重症颅脑损伤患者的院内转运,即护士根据医嘱实行转运过程中的护理工作;干预组在预见性护理措施指导下进行重症颅脑损伤患者的院内转运工作。对比两组患者的意外事件发生率、患者死亡率、家属投诉率等情况。结果:干预组和对照组患者的意外事件发生率、患者死亡率、家属投诉率均有显著性差异(P<0.01),干预组明显低于对照组。结论:实行预见性护理措施后,重症颅脑损伤患者的院内转运过程中的安全缺陷显著减少,患者的转运意外发生情况明显好转,患者的生命安全得到了有效的保障,说明预见性护理措施是重症颅脑损伤患者转运过程中的一项有效护理模式。
Objective: To investigate the effect of predictive nursing intervention in patients with severe craniocerebral injury in hospital and provide reference for strengthening the safety management of hospitalized patients with severe craniocerebral injury. Methods: One hundred and fifty patients with severe craniocerebral injury who were treated in Huzhou Central Hospital from January to May 2014 were selected as the control group. 160 patients with severe craniocerebral injury who were treated in Huzhou Central Hospital from June to October 2014 were intervened group. The control group underwent routine procedures for intra-hospital transport of patients with severe craniocerebral injury, that is, the nurses carried out the nursing work according to the doctor’s orders during the transport process. The intervention group underwent the nosocomial transit in patients with severe craniocerebral injury under the guidance of predictive nursing measures. Compare the two groups of patients the incidence of accidents, patient mortality, family members complain rate and so on. Results: The incidence of accidents, the mortality of patients and the complaint rate of family members were significantly different between the intervention group and the control group (P <0.01). The intervention group was significantly lower than the control group. CONCLUSIONS: After the implementation of predictive nursing measures, the safety deficits in patients with severe craniocerebral injury during hospital transportation are significantly reduced, the accidental transit of patients is significantly improved, and the life safety of patients is effectively protected, indicating that the predictive nursing measures are An Effective Nursing Mode in the Process of Transporting Patients with Severe Craniocerebral Injury.