管道标识在心脏外科监护中的应用效果(1)
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[摘要] 目的 观察管道标识在心脏外科监护中的应用效果。 方法 选择2009年1月~2010年12月我科收治的心脏术后病危重症患者381例， 随机选取其中187例未使用管道标识作为对照组，另外194例使用管道标识作为观察组，从管道安全问题、管道的临床辨别时间以及交接班时间、护士对管道相关知识的掌握情况进行对比分析。 结果 实施管道标识后的安全问题少于使用前(P < 0.05)；管道的临床辨别时间以及交接班时间少于使用前(P < 0.05)；护理人员在管道标识后对管道的名称、护理措施、潜在护理隐患认知情况优于使用前(P < 0.05)。 结论 管道标识在心脏外科的监护中应用后，管道安全隐患得到了有效控制，提高了护理工作效率，强化了护理人员的风险意识，有利于临床护理带教。
[关键词] 管道标识；心脏外科；护理
[中图分类号] R476.3 [文献标识码] B [文章编号] 1673-9701(2012)03-0114-02
The effect of pipeline markers in cardiac surgery care
TANG Wenjuan PENG Yunchan
ICU Department, Nanpu the Second Affiliated Hospital of Wenzhou Medical University in Zhejiang Province，Wenzhou 325027, China
[Abstract] Objective To observe the effect of pipeline markers in cardiac surgery care. Methods Three hundred and eighty one critical patients after heart surgery in our department were chosen from January 2009 to December 2010. The patients were randomly divided into control group (n = 187) and experiment group (n = 194).The experiment group pipelines were marked while the control group were no using. We compared and analyzed the experiment group and the control group from the following aspects pipeline marker safety issue, clinical discretion time and nurses’ handover time of the pipeline, as well as nurses’understanding of pipeline related knowledge. Results There was much less safety issue than before the pipeline marker had been used (P < 0.05); clinical discretion time and shift handover time of the pipeline were also less than it had been used to(P < 0.05); With compare before, nurses had much better understanding of the name s of the pipelines, nursing measures and the potential nursing troubles (P < 0.05). Conclusion By applying pipeline marker to cardiac surgery care, it well controlled the pipeline hidden safety troubles, improve the efficiency of nursing work, reinforce nurse’ consciousness of risk and was benefit for the clinical nursing education.
[Key words] Pipeline marker; Cardiac surgery care; Nursing
心脏外科患者术后常需留置多种治疗管道，如经口(或鼻)气管导管、双腔或三腔中心静脉置管、左房测压管、有创动脉置管、心包纵隔引流管、胸腔引流管、胃管、导尿管等，管道繁多且复杂，往往会因细节问题而发生差错，建立明显的标识系统，有利于正确识别各条管道，科学、合理有针对性、有目的地使用护理标识，对防范护理缺陷的发生有重要作用[1]。回顾我科在管道安全管理中建立了管道标识系统，取得较好的临床效果，现报道如下。
1 资料与方法 ......
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