引用本文:李勤,袁静华.[cn_title][J].[journal_cn_name],2020,[volume]([issue]):299-303.[点击复制]
LI Qin,YUAN Jinghua.[en_title][J].[journal_en_name],2020,[volume]([issue]):299-303.[点击复制]
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床椅转移装置在慢性阻塞性肺疾病急性加重期患者中的临床应用效果研究
李勤,袁静华
0
(常熟市第二人民医院)
摘要:
目的 探讨床椅转移装置在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用效果。方法 设计制作床椅转移装置,选取2017年9月到2018年9月常熟市第二人民医院收治的AECOPD患者192例,采用随机数字表法分为观察组和对照组,每组各96例。对照组采用传统抱起、搀扶进行床椅间转移,观察组采用床椅转移装置进行床椅转移。分别比较两组患者床椅转移过程中非计划拔管不良事件发生和发生跌倒、碰撞扭伤情况,以及患者满意度和护士满意度,床椅转移耗时比。结果 观察组发生非计划拔管事件2例(2.08%),对照组发生9例(9.38%),差异有统计学意义(P<0.05);两组均未发生跌倒事件;观察组发生碰撞扭伤事件1例(1.04%),对照组发生8例(8.33%),差异有统计学意义(P<0.05)。观察组患者的安全感高于对照组(P<0.001),而疲劳感及胸闷发作感均低于对照组(P<0.001);观察组护士认为在转移中体力负荷低于对照组(P<0.001),而转移操作便利性及安全性均高于对照组(P<0.001)。观察组床-椅转移耗时及椅-床转移耗时均小于对照组(P<0.001)。结论 使用床椅转移装置对患者进行床椅间转移可降低不良事件发生率,增进患者床椅转移满意度,缩短护士操作时间,提高工作效率,提升工作满意度。
关键词:  床椅转移装置  AECOPD患者  不良事件  满意度  转移耗时
DOI:
基金项目:常熟市卫生和计划生育委员会科技指导性项目(27);实用新型专利: 床椅转移辅助装置(ZL201720752952.8)
Application of bed-chair transfer device in patients with acute exacerbations of chronic obstructive pulmonary disease
LI Qin,YUAN Jinghua
(the Second People’s Hospital of Changshu)
Abstract:
Objective To explore the application effect of bed-chair transfer device in patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD).Methods One hundred and ninety-two patients with AECOPD who were admitted to the Second People’s Hospital of Changshu from September 2017 to September 2018 were randomly divided into experimental group and control group, with 96 cases in each group. The patients in the control group were transferred by lifting and supporting. While the bed-chair transfer device was used in experimental group. The incidences of falls, sprains, unplanned extubation were compared between the two groups. Beyond that, the satisfaction rates of patients and nurses as well as the time-consuming ratio of bed-chair transfer were compared between the two groups. Results No case of falls occurred in both of the experimental group and control group. One case (1.04%) of collision sprain occurred in the experimental group, which was significantly less than that (8 cases [8.33%]) in control group (P<0.05). Two cases (2.08%) of unplanned extubation occurred in the experimental group, which was significantly less than that (9 cases [9.38%]) in control group (P<0.05). There were statistically significant differences in satisfaction rates of patients and nurses as well as bed transfer time ratio (P<0.05). The sense of security, the scores of fatigue and chest tightness had been significantly improved in the experimental group (P<0.001). The physical load, convenience and safety of the transfer operation had been significantly improved in the experimental group as well (P<0.001). The bed-chair transfer time and the chair-bed transfer time in the experimental group were significantly shorter than those in the control group (P<0.001). Conclusions The incidence of adverse events can be reduced by using bed-chair transfer device, which improves patients’ satisfaction and work efficiency.
Key words:  Bed-chair transfer device  AECOPD patients  Adverse event  Degree of satisfaction  

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