摘要
目的分析ICU患者在院内转运时发生血氧饱和度(SpO_2)降低的危险因素,为减少危重患者在转运过程中发生SpO_2降低提供理论依据。方法采用横断面调查方法,实地跟踪2017年4月—5月在山西省某三级甲等医院ICU救治并进行院内转运的182例患者,采用自行设计的《ICU患者院内转运评估表》进行调查。按SpO_2是否降低进行分组,通过单因素分析和Logistic回归分析,筛选出影响SpO_2降低的危险因素。结果在转运的182例患者中,117例患者发生SpO_2降低,发生率为64.3%。患者的年龄、改良早期预警评分(Modified Early Warning Score,MEWS)、疾病类型、转运人员的职称、供氧装置是转运患者SpO_2降低的危险因素。结论转运患者的年龄大、MEWS评分高、呼吸系统疾病患者、使用氧气袋的患者、转运护送人员职称低,患者SpO_2降低的发生率高;转运时间对患者转运过程中SpO_2降低的影响有待进一步研究。
Objective To explore risk factors of oxygen saturation （SpOz） decrease during intrahospital transportation （IHT） of intensive care unit （ICU） patients in emergency department,and provide theoretical basis for preventing oxygen saturation decrease during intrahospital transportation. Methods A cross-sectional study design was adopted,from April to May , 2017 , we investigated 182 ICU patients who required IHT in an emergency department in a tertiary hospital in Shanxi Province by using self-designed EvaLuation Form of Intrahospital Transportation for ICU Patients in Emergency Room. We divided patients into two groups based on whether their SpOz decreased or not. Risk factors of SpO2 decrease were identified by univariate and multivariate Logistic regression analysis. Results Among 182 patients,ll7 had SpO2 decrease,and the rate of SpO2 decrease was 64.3%. Patient＇s age,MEWS score, disease type,escort personnel,and oxygen supply device were risk factors of SpO2 decrease. Conclusion SpO2 decrease is the result of combination of multiple risk factors during IHT. We ought to enhance training of escort person- nel,assess patient＇s condition and SpO2 level accurately and make plan before transportation,choose qualified oxygen supply device to ensure patients can have effective oxygen supply during IHT,which prevent SpOz decrease during IHT.
出处
《中华护理杂志》
CSCD
北大核心
2017年第12期1478-1482,共5页
Chinese Journal of Nursing
关键词
院内转运
血氧饱和度
影响因素分析
Intra-hospital Transport
Oxygen Desaturation
Root Cause Analysis
