Application of evidence-based standardized transfer process in hospital transportation of critically ill patients in neurosurgery department
10.3760/cma.j.cn115682-20200515-03370
- VernacularTitle:基于循证的标准化转运流程在神经外科危重症患者院内转运中的应用
- Author:
Xurui ZENG
1
;
Juan DING
;
Mo FU
Author Information
1. 湖北省荆州市中心医院神经外科监护室 434020
- Keywords:
Evidence-based nursing;
Critical illness;
Neurosurgery;
Standardized process;
Hospital transfer
- From:
Chinese Journal of Modern Nursing
2021;27(2):192-198
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the evidence-based nursing standardized transfer process on the hospital transfer of critically ill patients in neurosurgery department.Methods:From January to December 2019, convenience sampling was used to select 600 critically ill patients who were hospitalized in the Neurosurgery Intensive Care Unit of Jingzhou Central Hospital in Hubei Province and were transferred to the computed tomography (CT) examination area in the hospital. According to the admission time, patients were divided into observation group and control group, with 300 cases in each group. Observation group received the evidence-based standardized transfer process for transfer care, and control group received routine transfer care. We compared the incidence of adverse transfer events and the satisfaction of patients' family members between the two groups.Results:Sudden convulsions or restlessness, decreased blood oxygen saturation, blood pressure/heart rate fluctuations> 20%, accidental slippage or blockage of catheters, infusion tube was off or blocked, insufficient oxygen, equipment failure, insufficient medicines of hospital transfer in observation group were 1.3% (4/300) , 7.0% (21/300) , 4.7% (14/300) , 0.3% (1/300) , 8.3% (25/300) , 0.3% (1/300) , 0.7% (2/300) , 0.3% (1/300) , lower than 4.0% (12/300) , 22.3% (67/300) , 9.3% (28/300) , 3.0% (9/300) , 19.3% (58/300) , 2.7% (8/300) , 3.3% (10/300) , 6.0% (18/300) in control group, the differences were statistically significant ( P<0.05) . The overall satisfaction of patients' family members in observation group was 91.9% (262/285) , which was higher than 69.0% (187/271) in control group, and the difference was statistically significant ( P<0.01) . Conclusions:The implementation of an evidence-based standardized transfer process can effectively reduce the incidence of adverse events during the transfer in critically ill patients of neurosurgery and improve the satisfaction of patients' family members.
