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Contemporary Nursing. 2026; 7: (2) ; 10.12208/j.cn.20260073 .

The effect of applying standardized nursing management in the handover of critically ill patients both inside and outside the hospital
危重症患者院内外交接中应用模式化护理管理的效果

作者: 吴艳 *, 杨茹

宁夏医科大学总医院 宁夏银川

*通讯作者: 吴艳,单位:宁夏医科大学总医院 宁夏银川;

引用本文: 吴艳, 杨茹 危重症患者院内外交接中应用模式化护理管理的效果[J]. 当代护理, 2026; 7: (2) : 50-52.
Published: 2026/2/18 11:10:42

摘要

目的 分析危重症患者院内外交接中应用模式化护理管理产生的效果。方法 回顾分析2022年1月—2023年1月接收的30名危重症患者为研究对象,设定为对照组,采取常规院内外交接护理管理。回顾分析2024年1月—2025年1月接收的30名危重症患者为研究对象,设定为观察组,采取模式化护理管理。对比两组护理管理效果。结果 (1)意外事件发生率与护患纠纷发生率,观察组更低于对照组(P<0.05)差异显著,有统计学意义。(2)家属护理管理满意度,观察组更高于对照组(P<0.05)为差异显著,有统计学意义。(3)交接班效果,观察组各评分高于对照组(P<0.05)为差异显著,有统计学意义。(4)交接耗时,观察组短于对照组(P<0.05)为差异显著,有统计学意义。结论 危重症患者院内外交接中应用模式化护理管理产生的效果较佳,值得推广实施。

关键词: 危重症;模式化护理管理;意外事件发生率;护患纠纷发生率;护理管理满意度

Abstract

Objective To analyze the effect of applying standardized nursing management in the handover of critically ill patients both inside and outside the hospital.
Methods A retrospective analysis was conducted on 30 critically ill patients received from January 2022 to January 2023 as the research subjects, who were set as the control group and received routine in-hospital and out-of-hospital handover nursing management. A retrospective analysis was conducted on 30 critically ill patients received from January 2024 to January 2025 as the research subjects, who were set as the observation group and received standardized nursing management. Compare the nursing management effects of the two groups.
Results (1) The incidence of unexpected events and nurse-patient disputes in the observation group was lower than that in the control group (P<0.05), with a significant difference and statistical significance. (2) The satisfaction rate of family member care management in the observation group was higher than that in the control group (P<0.05), which was a significant difference and statistically significant. (3) Regarding the shift handover effect, the scores of each group in the observation group were higher than those in the control group (P<0.05), which was considered a significant difference and statistically significant. (4) The handover time was shorter in the observation group than in the control group (P<0.05), which was considered a significant difference and statistically significant.
Conclusion   The application of standardized nursing management in the handover of critically ill patients both inside and outside the hospital has a better effect and is worthy of promotion and implementation.

Key words: Critical illness; Patterned nursing management; Incidence of unexpected events; Incidence of nurse-patient disputes; Satisfaction with nursing management

参考文献 References

[1] 姬国华,申祥凤,吴琪,等.心血管危重症患者SBAR床旁交接班模式的质量改进与临床应用评价[J].心脑血管病防治, 2024, 24(4):63-64.

[2] 臧鑫,李春娟,丁蓉,等. 基于信息化的急诊转运交接单“霸屏提示”模式在急危重症患者院内转运中的应用[J].中国临床护理,2025,17(02):84-87.

[3] 郭万奎.急诊急危重症病人院内转运中SBAR交接模式与标准化院内转运的效果[J].国际全科医学, 2023, 4(4):61-63.

[4] 宋琳.无缝隙护理管理对急诊急危重症转运交接影响[J].中国城乡企业卫生, 2025, 40(2):190-192.

[5] 刘艳秋,翁亚娟.CUSP模式在急诊危重患者院内转运交接中的应用分析[J].基层医学论坛, 2023, 27(18):126-128.

[6] 李瑶瑶.HFMEA模式在危重症护理交接班管理中应用[J].西藏医药, 2023, 44(2):3-5.

[7] 黄桂芷,香瑞嫦,黄凤和等.无缝隙护理在急诊科急危重症患者转运交接过程中对转运交接时间,抢救时间的影响研究[J]. 2024(24):6014-6016.

[8] 滕娇,黄伟,朱晓毅.基于信息系统的降阶梯思维与SBAR模式在急危重症患者转运交接中的应用价值研究[J].当代医药论丛, 2023, 21(17):193-196.