首页|心肺康复护士专职岗位在重症监护室的设立与实践研究

心肺康复护士专职岗位在重症监护室的设立与实践研究

扫码查看
目的:探讨心肺康复护士专职岗位在重症监护室(ICU)设立的可行性、工作模式及临床效果.方法:2021年12月在本院ICU设立心肺康复护士专职岗位,以2020年12月至2021年11月收治的50例患者为对照组,2021年12月至2022年10月收治的50例患者为试验组.比较两组患者的肺功能指标、APACHE Ⅱ评分、心功能指标、机械通气时间、ICU住院时间、ICU住院费用.结果:试验组肺功能指标(临床肺部感染评分、氧合指数、PO2、PCO2)明显优于对照组(P<0.05);试验组APACHE Ⅱ评分较对照组明显降低(P<0.05);试验组心功能指标(LVDD、LVSD、LVEF)明显优于对照组(P<0.05);试验组机械通气时间、ICU住院时间短于对照组,ICU住院费用低于对照组(P<0.05).结论:心肺康复护士专职岗位的设立不仅可以明显改善重症患者的心肺功能,降低患者的经济负担,还可以促进ICU护士专业化发展,进一步提升其科研能力.
Establishment and practice of full-time post for cardiopulmonary rehabilitation nurse in intensive care unit
Objective:To explore the feasibility,working mode and clinical effect of the full-time post for cardiopulmonary rehabilitation nurse in intensive care unit(ICU).Methods:A full-time post for cardiopulmonary rehabilitation nurse was set up in ICU of our hospital in December 2021.50 patients admitted from December 2020 to November 2021 were selected as the control group,and 50 patients admitted from December 2021 to October 2022 were selected as the experimental group.The pulmonary function indexes,APACHE Ⅱ score,cardiac function indexes,mechanical ventilation time,ICU hospitalization time and ICU hospitalization expenses were compared between the two groups.Results:The pulmonary function indexes(clinical pulmonary infection score,oxygenation index,PO2,PCO2)of the experimental group were significantly better than those of the control group(P<0.05).The APACHE Ⅱ score of the experimental group was significantly lower than that of the control group(P<0.05).The indexes of cardiac function(LVDD,LVSD,LVEF)in the experimental group were significantly better than those in the control group(P<0.05).The duration of mechanical ventilation and ICU hospitalization time in the experimental group were shorter than those in the control group,and the cost of ICU hospitalization was lower than that in the control group(P<0.05).Conclusion:The establishment of full-time post for cardiopulmonary rehabilitation nurse can not only significantly improve the cardiopulmonary function of critically ill patients and reduce their economic burden,but also promote the professional development of ICU nurses and further enhance their scientific research ability.

intensive care unitcardiopulmonary rehabilitationfull-time postnurses

葛刘娜、时金龙、张伟维、曹玉、梁丽娜、谷一梅

展开 >

安徽医科大学第一附属医院急诊重症监护室,安徽合肥 230088

重症监护室 心肺康复 专职岗位 护士

2024

现代临床医学
成都市医学信息所,成都医学会

现代临床医学

影响因子:0.895
ISSN:1673-1557
年,卷(期):2024.50(5)