主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (4): 566-569.doi: 10.3969/j.issn.1672-1756.2021.04.019

• 延续护理 • 上一篇    下一篇

ICU后门诊的建立与运行实践

万娜 常鑫儿 张春艳 王淑芹 储慧文 王荔 唐晓 孙兵 贾燕瑞   

  1. 首都医科大学附属北京朝阳医院呼吸与危重症医学科,100020
  • 出版日期:2021-04-15 发布日期:2021-04-15
  • 通讯作者: 张春艳,本科,主管护师,护士长,E-mail:coomoon11@163.com
  • 作者简介:万娜,硕士,主管护师
  • 基金资助:
    北京市属医院科研培育计划(PZ2021002)

Practice of establishment and operation of post-ICU clinic

WAN Na, CHANG Xiner, ZHANG Chunyan, WANG Shuqin, CHU Huiwen, WANG Li, TANG Xiao, SUN Bing, JIA Yanrui   

  1. Department of Respiratory and Critical Care Medicine, Beijing Chao-yang Hospital, Capital Medical University, Beijing, 100020, China
  • Online:2021-04-15 Published:2021-04-15
  • Contact: E-mail:coomoon11@163.com

摘要: 目的:评价ICU后门诊的实践效果。方法:设立ICU后门诊,采用医护协作诊疗模式,对ICU出院患者进行综合评估,制定康复方案并指导实施,必要时专科转诊,同时提供动态延续护理服务。结果:ICU后门诊开设2年多来,共随访患者146例,健康评估346例次,运动方案指导及日常生活能力训练334例次,呼吸训练214例次,健康指导379例次,ICU后门诊随访患者的再住院率低于电话随访组(P<0.05),重返工作率高于电话随访组(P<0.05)。患者及家属满意度为99.07%,出诊护士认为ICU后门诊有利于提高自我专业问题处理能力。结论:ICU后门诊可有效解决ICU出院患者康复问题,有利于患者身体及社会功能恢复,提升患者满意度及护士专业能力。

关键词: ICU后门诊;护理;管理;康复

Abstract: Objective: To evaluate the effect of post-ICU clinic service. Methods: We established a post-ICU clinic, adopted the medical-nursing collaborative diagnosis and treatment mode, comprehensively evaluated patients discharged from the ICU, developed rehabilitation plans and guide implementation, specialist referral when necessary, and provided dynamic continuous nursing services. Results: Totally 146 patients were followed up, including 346 cases of health assessment, 334 cases of exercise program guidance and daily living ability training, 214 cases of respiratory training and 379 cases of health guidance since the clinic was opened. The rehospitalization rate was lower than the telephone follow-up patients (P<0.05). The rate of returning to work was higher than the telephone follow-up group (P<0.05). Patients' satisfaction was 99.07%. The visiting nurses believed that the post-ICU clinic was helpful to improve their ability to deal with professional problems. Conclusion: Post-ICU clinic can effectively solve the rehabilitation problems of discharged patients from ICU, which is conducive to the recovery of patients' physical and social functions, improves patients' satisfaction and nurses' professional ability.

Key words: post-ICU clinic; nursing; management; rehabilitation

中图分类号: 

  • R47