吴小艳 杨太亚 胡丽

【摘要】 目的：探讨10S精细化管理在急危重症中的应用。方法：选取2020年1月—2021年1月遵义医科大学附属医院收治的急危重症患者100例进行研究。随机分为对照组（50例）和观察组（50例）。对照组采用常规护理管理模式，观察组在对照组基础上给予10S精细化管理，对比两组临床指标、护理质量评分、生活质量、护理满意度及不良事件发生率。结果：观察组住院时间、抢救时间皆短于对照组，住院费用少于对照组（P<0.05）；观察组护理质量评分均高于对照组（P<0.05）；干预后，观察组生活质量评分均优于对照组（P<0.05）；观察组护理总满意度（90.00%）高于对照组（72.00%）（P<0.05）；观察组不良事件总发生率（18.00%）低于对照组（40.00%）（P<0.05）。结论：对急危重症患者实施10S精细化管理效果显著，不仅提高护理质量，还能有效提高患者的满意度，降低不良事件发生率，安全性较高，值得推广。

【关键词】 10S精细化管理 急危重症患者 护理质量 护理满意度 生活质量 不良事件发生率

Application of 10S Refined Management in Acute and Critical Illness/WU Xiaoyan， YANG Taiya， HU Li. //Medical Innovation of China， 2024， 21（15）： 0-085

[Abstract] Objective： To explore the application of 10S refined management in acute and critical illness. Method： A total of 100 patients with acute and critical illness admitted to Affiliated Hospital of Zunyi Medical University from January 2020 to January 2021 were selected for this study. They were randomly divided into control group （50 cases） and observation group （50 cases）. The control group was given the conventional nursing management mode， and the observation group was given 10S refined management on the basis of the control group， and the clinical indexes， nursing quality scores， quality of life， nursing satisfaction and the incidence of adverse events were compared between the two groups. Result： The hospitalization time and rescue time of observation group were lower than those of control group， hospitalization cost was less than that of control group （P<0.05）. The nursing quality scores of the observation group were higher than those of the control group （P<0.05）. After intervention， the quality of life scores of observation group were better than those of control group （P<0.05）; the total satisfaction of nursing in observation group （90.00%） was higher than that in control group （72.00%） （P<0.05）. The total incidence of adverse events in observation group （18.00%） was lower than that in control group （40.00%） （P<0.05）. Conclusion： The implementation of 10S refined management for acute and critically ill patients has a significant effect， not only improving the quality of care， but also effectively improving satisfaction of patient and reducing the incidence of adverse events. It has high safety and is worthy of promotion.

[Key words] 10S refined management Acute and critically ill patients Nursing quality Nursing satisfaction Quality of life Incidence of adverse events

First-author's address： Department of Tuberculosis， Affiliated Hospital of Zunyi Medical University， Zunyi 563000， China

doi：10.3969/j.issn.1674-4985.2024.15.019

急危重症患者常表现多器官功能受损、病情发展速度较快、病情一般较为严重、并发症较多等特点，对患者的日常生活和身心健康带来严重危害，是造成患者死亡的主要原因之一[1]。近年来，随着经济的迅速发展，人们生活水平的提高，人们对自身的健康也越来越重视，对医疗服务和护理质量也逐渐关注和重视，对其也提出较高的要求[2]。由于急危重症患者一般需要实施紧急救治，致使医护人员工作量较大，对患者的救治工作带来影响[3]。研究报道，随着人们的日常生活与环境的改变，急危重症在老年人群发病率呈多发态势且呈逐年上升趋势[4]。由于急危重症的病情异常危急且治疗周期漫长，给患者及其家属带来巨大的心理压力及经济负担，对患者的生命安全构成严重威胁[5]。另外，急危重症护理具有较高的风险，致使护理人员面临较为严峻的考验[6]。……