首页|基于循证证据的标准化管理在ICU心电监护患者中的应用

基于循证证据的标准化管理在ICU心电监护患者中的应用

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目的 探讨基于循证证据的标准化管理对重症加强护理病房(intensive care units,ICU)心电监护患者误警报率及护士警报疲劳的影响.方法 随机选取 2021 年 7 月—2023 年6 月月福建医科大学附属泉州市第一医院中临床 100 台ICU心电监护仪器.2021 年 7 月—2022 年 12 月实施常规管理期间的临床 50 台ICU心电监护仪器纳为常规管理组,将 2023年 1-6 月实施基于循证证据的标准化管理期间的临床 50 台ICU心电监护仪器纳为循证管理组.比较 2 组心电监护患者误警报率、报警能力处理评分和护士警报疲劳.结果 循证管理组的心电监护仪器误警报率为 16.13%,常规管理组为26.15%,差异有统计学意义(P<0.05).循证管理组中护士报警能力处理评分较常规管理组高,差异有统计学意义(P<0.05).循证管理组患者的ICU护士报警疲劳量表评分为(15.32±3.28)分,常规管理组为(21.56±4.64)分,差异有统计学意义(P<0.05).结论 基于循证证据的标准化管理可以降低ICU心电监护患者误警报率,提升护士处理能力,降低护士报警疲劳度.
Application of Evidence-Based Standardized Management in ICU Electrocardiogram Monitoring Patients
Objective To explore the impact of evidence-based standardized management on the false alarm rate and nurse alarm fatigue of electrocardiographic monitoring patients in intensive care units(ICUs).Methods A total of 100 clinical ICU electrocardiogram monitoring instruments in Quanzhou First Hospital Affiliated to Fujian Medical University from July 2021 to June 2023 were randomly selected.A total of 50 clinical ICU electrocardiogram monitoring instruments from July 2021 to December 2022 during the implementation of routine management as the routine management group.A total of50 clinical ICU electrocardiogram monitoring instruments from January to June 2023 during the implementation of evidence-based standardized management as the evidence-based management group.The false alarm rate,alarm ability processing score,and nurse alarm fatigue between two groups of electrocardiogram monitoring patients were compared.Results The false alarm rate of electrocardiogram monitoring instruments in the evidence-based management group was 16.13%,while the false alarm rate of electrocardiogram monitoring instruments in the conventional management group was 26.15%,with a statistically significant difference(P<0.05).The score of nurses'alarm handling ability in the evidence-based management group was higher than that in the conventional management group,and the difference was statistically significant(P<0.05).The ICU nurse alarm fatigue scale score for patients in the evidence-based management group was(15.32±3.28)points,while the conventional management group was(21.56±4.64)points,with a statistically significant difference(P<0.05).Conclusion Standardized management based on evidence-based evidence can reduce the false alarm rate of ICU electrocardiogram monitoring patients,improve nurses'processing ability,and reduce nurses'alarm fatigue.

intensive care unitevidence based evidencealarm fatiguenursesnursingstandardized managementECG monitor

吴燕芬、刘晓梅

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福建医科大学附属泉州市第一医院重症医学科,福建泉州 362000

重症监护病房 循证证据 警报疲劳 护士 护理 标准化管理 心电监护仪

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(7)
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