安全-支持-合作过渡期护理模式在ICU中的应用进展

doi:10.3761/j.issn.0254-1769.2023.08.016

摘要/Abstract

摘要：

ICU患者转出过程中多学科团队的支持与合作是确保过渡期安全的关键。该研究介绍了现有的过渡期护理模式，安全-支持-合作过渡期护理模式的发展，主要阐述了安全-支持-合作过渡期护理模式的内容以及在ICU中的应用；安全-支持-合作过渡期护理模式仍在不断完善，未来可结合临床实际使用情况丰富其内涵，可借鉴该模式，结合医疗机构特点开发适用于本土的过渡期护理方案。

关键词: “安全-支持-合作”模式, ICU过渡期, 重症监护, 过渡期护理, 综述

Abstract:

The support and cooperation of the multidisciplinary team during the ICU patient transferring is critical to ensure the safety of the transition. This paper introduces the development of the ICU transitional care model，secure，encourage，collaborate（SEC） transitional care model，and mainly describes the content of SEC transitional care model and its application in the field of ICU nursing. It is proposed that the content of SEC transitional nursing model is not specific enough，and its connotation can be enriched based on the actual clinical use in the future. A suitable transitional nursing scheme can be developed based on this model and the characteristics of Chinese medical institutions.

Key words: “Secure，Encourage，Collaborate” Model, ICU Transitional Period, Intensive Care, Transitional Nursing, Review

欧梦仙, 王军, 纪媛媛, 赵朋朋. 安全-支持-合作过渡期护理模式在ICU中的应用进展[J]. 中华护理杂志, 2023, 58(8): 1001-1004.

OU Mengxian, WANG Jun, JI Yuanyuan, ZHAO Pengpeng. Development of secure，encourage and collaboration transitional nursing model and its application in ICU nursing field[J]. Chinese Journal of Nursing, 2023, 58(8): 1001-1004.

参考文献 29

[1]	詹昱新, 喻姣花, 廖兰, 等. 神经外科患者照顾者对重症监护过渡期护理体验的质性研究[J]. 解放军护理杂志, 2022, 39(6):56-59.
	Zhan YX, Yu JH, Liao L, et al. The nursing experience of neurosurgical patients’ caregivers in intensive care unit transitional period:a qualitative study[J]. Nurs J Chin PLA, 2022, 39(6):56-59.
[2]	刘颖琪, 刘鸿梅, 陈娜, 等. 基于患者报告的ICU过渡期护理质量评测量表编制及信效度检验[J]. 中国实用护理杂志, 2021, 37(16):1252-1257.
	Liu YQ, Liu HM, Chen N, et al. Development and reliability and validation of a Quality of Patient-Reported ICU Transitio-nal care Scale[J]. Chin J Pract Nurs, 2021, 37(16):1252-1257.
[3]	Peters JS. Role of transitional care measures in the prevention of readmission after critical illness[J]. Crit Care Nurse, 2017, 37(1):e10-e17.
[4]	韦秀霞, 张亚军, 李青荷, 等. 心脏外科手术患者ICU过渡期护理清单的设计及应用[J]. 中华护理杂志, 2019, 54(8):1170-1175. DOI
	Wei XX, Zhang YJ, Li QH, et al. Design and application of ICU transitional care checklist[J]. Chin J Nurs, 2019, 54(8):1170-1175. DOI
[5]	Häggström M, Bäckström B. Organizing safe transitions from intensive care[J]. Nurs Res Pract, 2014, 2014:175314.
[6]	Meeker MA, White D. Transition to comfort-focused care:moral agency of acute care nurses[J]. Nurs Ethics, 2021, 28(4):529-542. DOI PMID
[7]	季涧琳, 陆群峰, 杨利灵, 等. 过渡期护理的概念分析[J]. 中华护理杂志, 2022, 57(3):374-379. DOI
	Ji JL, Lu QF, Yang LL, et al. Concept analysis of transitional care[J]. Chin J Nurs, 2022, 57(3):374-379. DOI
[8]	Blum RW, Garell D, Hodgman CH, et al. Transition from child-centered to adult health-care systems for adolescents with chronic conditions. A position paper of the Society for Adolescent Medicine[J]. J Adolesc Health, 1993, 14(7):570-576. DOI URL
[9]	Brooten D, Brown LP, Munro BH, et al. Early discharge and specialist transitional care[J]. Image J Nurs Sch, 1988, 20(2):64-68. DOI URL
[10]	Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders:a randomized clinical trial[J]. JAMA, 1999, 281(7):613-620. DOI URL
[11]	Conner KO, Gum AM, Schonfeld L, et al. Enhancing care transitions intervention with peer support to improve outcomes among older adults with co-occurring clinical depression:a pilot study[J]. Home Health Care Serv Q, 2021, 40(4):324-339. DOI URL
[12]	Cauwels JM, Jensen BJ, Winterton TL. Giving readmission num-bers a BOOST[J]. SD Med, 2013, 66(12):505-507,509.
[13]	Popejoy LL, Wakefield BJ, Vogelsmeier AA, et al. Reengineering skilled nursing facility discharge:analysis of reengineered discharge implementation[J]. J Nurs Care Qual, 2020, 35(2):158-164. DOI PMID
[14]	Garland-Baird L, Fraser K. Conceptualization of the chronic care model:implications for home care case manager practice[J]. Home Healthc Now, 2018, 36(6):379-385. DOI PMID
[15]	Chaboyer W, James H, Kendall M. Transitional care after the intensive care unit:current trends and future directions[J]. Crit Care Nurse, 2005, 25(3):16-18,20-22,24-26. PMID
[16]	Stelfox HT, Bastos J, Niven DJ, et al. Critical care transition programs and the risk of readmission or death after dis-charge from ICU[J]. Intensive Care Med, 2016, 42(3):401-410. DOI PMID
[17]	Rosa RG, Maccari JG, Cremonese RV, et al. The impact of critical care transition programs on outcomes after intensive care unit (ICU) discharge:can we get there from here?[J]. J Thorac Dis, 2016, 8(7):1374-1376. DOI URL
[18]	Enger R, Andershed B. Nurses’ experience of the transfer of ICU patients to general wards:a great responsibility and a huge challenge[J]. J Clin Nurs, 2018, 27(1/2):e186-e194. DOI URL
[19]	Häggström M, Asplund K, Kristiansen L. Struggle with a gap between intensive care units and general wards[J]. Int J Qual Stud Health Well Being, 2009, 4:181-192. DOI URL
[20]	Häggström M, Asplund K, Kristiansen L. How can nurses facilitate patient’s transitions from intensive care?[J]. Intensive Crit Care Nurs, 2012, 28(4):224-233. DOI URL
[21]	Meleis AI, Sawyer LM, Im EO, et al. Experiencing transitions:an emerging middle-range theory[J]. ANS Adv Nurs Sci, 2000, 23(1):12-28.
[22]	Boyd JM, Roberts DJ, Parsons Leigh J, et al. Administrator per-spectives on ICU-to-ward transfers and content contained in existing transfer tools:a cross-sectional survey[J]. J Gen In-tern Med, 2018, 33(10):1738-1745.
[23]	de Grood C, Leigh JP, Bagshaw SM, et al. Patient,family and provider experiences with transfers from intensive care unit to hospital ward:a multicentre qualitative study[J]. J De L’as-sociation Med Can, 2018, 190(22):E669-E676.
[24]	周月萍, 马仲飞, 夏小娟. “安全·支持·合作”过渡期护理模式在ICU转出患者中的应用[J]. 临床与病理杂志, 2017, 37(5):912-918.
	Zhou YP, Ma ZF, Xia XJ. Application of “secure,encourage,and collaboration” transitional nursing model on patients dis-charged from ICU[J]. J Clin Pathol Res, 2017, 37(5):912-918.
[25]	张晓静, 陈方园. 基于“安全-支持-合作”模式ICU过渡期标准化护理干预对ICU重症患者的影响[J]. 临床医学工程, 2021, 28(11):1583-1584.
	Zhang XJ, Chen FY. Influence of standardized nursing intervention based on safety-encouragement-cooperation mode in ICU transition period on ICU critically ill patients[J]. Clin Med & Eng, 2021, 28(11):1583-1584.
[26]	Rosgen BK, Plotnikoff KM, Krewulak KD, et al. Co-development of a transitions in care bundle for patient transitions from the intensive care unit:a mixed-methods analysis of a stakeholder consensus meeting[J]. BMC Health Serv Res, 2022, 22(1):10. DOI
[27]	Hervé MEW, Zucatti PB, Lima MADDS. Transition of care at discharge from the intensive care unit:a scoping review[J]. Rev Lat Am Enfermagem, 2020, 28:e3325. DOI URL
[28]	黄艳林, 陈韵芳, 倪崴莲, 等. 基于“安全-支持-合作”模式ICU过渡期标准化护理方案的构建[J]. 护士进修杂志, 2021, 36(11):982-987.
	Huang YL, Chen YF, Ni WL, et al. Construction of standardized ICU transitional care scheme based on “safety,support,cooperation” model[J]. J Nurses Train, 2021, 36(11):982-987.
[29]	刘双. “安全-支持-合作”延续护理模式对重症胰腺炎患者及其亲属的影响[J]. 国际医药卫生导报, 2021, 27(7):1086-1091.
	Liu S. Influence of continuous nursing care of safety-support-cooperation mode on patients with severe pancreatitis and their family members[J]. Int Med Health Guid News, 2021, 27(7):1086-1091.