团队协作联合风险防范式护理在儿科护理中的应用

Teamwork combined with risk management in pediatric nursing

目的 探讨团队协作联合风险防范式护理用于儿科护理管理的效果.方法 选择2013年2月至2014年12月收治的188例呼吸系统疾病患儿,将2013年2-12月入院的92例患儿设为对照组,采取传统常规护理管理方式;将2014年1-12月入院的96例患儿设为观察组,采取团队协作联合风险防范式护理.比较2组护理质量、护理投诉、风险事件、团队协作评分及满意度等指标.结果 观察组治疗性护理评分、心理护理评分、健康教育评分、生活护理评分分别为（98.02±2.61）、（97.27±2.46）、（97.16±3.18）、（98.21±3.08）分,对照组分别为（84.28±1.92）、（86.09±1.87）、（82.64±2.17）、（85.58±2.29）分,2组比较差异有统计学意义（t=6.891-9.426,P〈0.01）.观察组风险事件、护理投诉分别为2.08%（2/96）、2.08%（2/96）,对照组分别为10.87%（10/92）、13.04%（12/92）,2组比较差异有统计学意义（χ2=6.069、8.187,P〈0.05）.观察组团队协作总评分为（3.86±1.09）分,对照组为（2.67±1.05）分,差异有统计学意义（t=2.410,P〈0.01）.观察组满意度为51.04%（49/96）,对照组为44.57%（41/92）,差异有统计学意义（χ2=7.221,P〈0.05）.结论 将团队协作联合风险防范式护理模式用于儿科护理管理中,可以提高团队协作能力,提升护理管理质量及护理工作质量,降低风险事件及护理投诉率,提高满意度.

Objective To study the effect of teamwork combined with risk management in pediatric nursing. Methods A total of 188 pediatric patients were selected as the research objects of this study from February 2013 to December 2014. Among them 92 pediatric patients admitted to the hospital from February to December 2013 were set as the control group,who adopted the traditional routine nursing management mode;another 96 pediatric patients admitted to hospital fromJanuary 2014 to December 2014 were set as the observation group,who accepted teamwork combined with risk management nursing mode. Quality of care,nursing complaints,risk events,team total score and satisfaction index of two group were compared. Results The therapeutic nursing, psychological nursing, health education, nursing quality of life scored 98.02 ± 2.61, 97.27 ± 2.46, 97.16 ± 3.18, 98.21 ± 3.08 in the observation group, which were significantly higher than those of the control group （84.28 ± 1.92, 86.09 ± 1.87, 82.64 ± 2.17, 85.58 ± 2.29） with significant difference （t=6.891-9.426, P〈0.01）. The risk events ratio, nursing complaints ratios were 2.08% （2/96）, 2.08% （2/96） in the observation group, which were lower than those of the control group 10.87% （10/92）, 13.04% （12/92）, and the difference was statistically significant （χ2=6.069,8.187, P〈0.05）. The total score of team cooperation was 3.86 ± 1.09 in the observation group, and 2.67 ± 1.05 in the control group （t=2.410,P〈0.01）. The satisfaction degree in the observation group was 51.04% （49/96）, which was significantly higher than the control group, 44.57%（41/92）,with significant difference （χ2=7.221,P〈0.05）. Conclusions Applying teamwork combined with risk management nursing mode to pediatrics may improve teamwork and the quality of nursing management and nursing quality,reduce risk events and nursing complaints, ease the poor mental symptoms of families, and improve satisfaction.