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折叠式转运支架在危重症患者院内转运中的应用

Application of folding transfer shelf in the transportation of critically ill patients

摘要:

目的:探讨折叠式转运支架在危重症患者院内转运中的应用价值。方法:选择2019年1月1日至12月31日嘉兴市第一医院从急诊科转运至重症监护病房(ICU)的患者,按照转运时是否使用自行研制的折叠式转运支架将患者分为支架组和对照组,比较两组转运不良事件发生率、生命体征稳定率及转运时间的差异。结果:共入选437例危重症患者,其中转运过程中使用折叠式转运支架转运者222例,使用普通转运床转运者215例。两组患者性别、年龄、疾病情况、病情程度等基线资料均衡。支架组患者转运过程中生命体征稳定率高于对照组(89.19%比82.33%, P<0.05),转运时间短于对照组(min:6.39±1.35比7.61±1.34, P<0.01)。患者转运过程中不良事件总发生率支架组低于对照组(2.25%比10.23%, P<0.01),尤其是支架组抢救用物携带不齐、仪器掉落的发生率低于对照组(0%比2.79%,0%比2.33%,均 P<0.05)。 结论:折叠式转运支架可降低危重症患者院内转运风险,尤其可降低抢救用物携带不齐和仪器掉落的发生风险,规范转运仪器管理,保持患者转运中生命体征稳定,缩短转运时间,有利于高效和高质量的转运。

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abstracts:

Objective:To explore the application of folding transfer shelf in the transportation of critically ill patients.Methods:Patients transferred from the emergency department to the intensive care unit (ICU) admitted to the First Hospital of Jiaxing from January 1st to December 31st in 2019 were enrolled. The patients were divided into study group and control group by whether or not using the self-developed folding transfer shelf. The incidence of adverse events, the stability rate of vital signs and the transport time were compared between the two group.Results:A total of 437 patients were enrolled in the study, with 222 in the study group (which used the self-developed folding transfer shelf) and 215 in the control group (which used the conventional stretcher). The baseline data such as gender, age, disease status and disease severity were balanced between the two groups. The stability rate of vital signs in the study group was higher than that in the control group (89.19% vs. 82.33%, P < 0.05). The transfer time in the study group was shorter than that in the control group (minutes: 6.39±1.35 vs. 7.61±1.34, P < 0.01). The total incidence of adverse transport events in the study group was lower than that in the control group (2.25% vs. 10.23%, P < 0.01). The incidence of miscarriage of emergent materials and instrument falling in the study group were lower than those in the control group (0% vs. 2.79%, 0% vs. 2.33%, both P < 0.05). Conclusions:The folding transfer shelf could reduce the transport risk of critical ill patients, especially the risk of miscarriage and falling of rescue instrument. The application of folding transfer shelf could regulate the management of transport, keep the vital signs of patients stable during transport, shorten the transport time, and facilitate an efficient and high-quality transport.

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作者: 王显江 [1] 程俊亚 [1] 黄劼 [1] 杨冬梅 [1] 施云超 [1] 郁慧杰 [1]
期刊: 《中华危重病急救医学》2020年32卷9期 1125-1127页 MEDLINEISTICPKUCSCD
栏目名称: 发明与专利
DOI: 10.3760/cma.j.cn121430-20200310-00212
发布时间: 2020-11-16
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