程序化管理在儿科重症监护室护理工作中的应用探讨

[摘要] 目的 分析在儿科重症监护室护理工作中实施程序化管理的价值。方法 该院儿科重症监护室在2019年1月开始实施程序化管理（研究组），与2019年1月前实施的常规管理（参照组）进行对比分析，两组各自选择55例儿科重症监护室患儿作为观察对象，对比两组的管理效果。结果 研究组儿科重症监护室患儿管理后的管理质量评分、患者家属满意度评分、护理人员综合护理技能评分、管理安全事件发生率及管理有效性明显优于参照组儿科重症监护室患儿，差异有统计学意义（P<0.05）。结论 在儿科重症监护室的护理工作中实施程序化管理的效果较为显著，促进儿科重症监护室管理有效性的提高。

[关键词] 程序化管理;儿科重症监护室;护理管理

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0013-03

The Application of Programmed Management in Nursing of Pediatric Intensive Care Unit

ZHAO Li

The First People's Hospital of Chenzhou， Chenzhou， Hunan Province， 423000 China

[Abstract] Objective To analyze the value of program management in nursing work in pediatric intensive care unit. Methods The pediatric intensive care unit of our hospital started to implement programmatic management （research group） in January 2019， and compared with the conventional management （reference group） implemented before January 2019. Each group selected 55 pediatric intensive care in the ICU were used as observation objects， and the management effects of the two groups were compared. Results The management quality scores of the children in the pediatric intensive care unit in the study group were significantly better than those in the pediatric intensive care unit in the reference group， with statistically significant difference（P<0.05）. Conclusion The effect of program management in the nursing work of pediatric intensive care unit is significant， and it promotes the improvement of the effectiveness of pediatric intensive care unit management.

[Key words] Programmed management; Pediatric intensive care unit; Nursing management

儿科重症监护室是医护人员应用高科技的监护技术及现代化的医疗设备为危急重症患儿实施治疗、护理及观察等操作的特殊区域。在儿科重症监护室内患儿的病情较为严重，且存在病情发展快及预后较差等特点[1]，在临床护理过程中稍加不注意将会导致较为严重的意外现象出现，危害患儿的生命安全，且儿童重症监护室的护理人员存在护理工作繁杂、护理强度较大及急救药品种类等问题，增加了在儿科重症监护室的护理难度[2]。因此在儿科重症监护室实施有效的管理措施显得尤为重要，该次观察过程中为了分析程序化管理在儿科重症监护室护理工作中的应用效果，该院针对收治的儿科重症监护室收治的患儿110例进行了分析，现报道如下。

1  资料与方法

1.1  一般资料……