风险管理在乳腺癌术后化疗患者护理中的应用

Application of risk management in the nursing care for the breast cancer patients treated by postoperative chemotherapy

目的探讨风险管理在乳腺癌术后化疗患者护理中的应用意义。方法将105例乳腺癌术后化疗患者随机分为对照组(52例)和风险管理组(53例),对照组按常规实施化疗方案,出现化疗风险时予以对症处理;风险管理组实施化疗方案时根据风险管理程序和方法对患者的护理风险进行评估、分析和预防。结果风险管理组护理投诉情况及化疗期间护理风险发生情况明显低于对照组(P<0.05),风险管理组的患者及家属对护士满意度及患者的治疗配合程度和治疗积极程度均明显高于对照组(均P<0.05)。结论对乳腺癌术后化疗患者护理过程中实施风险管理可提高护理人员对化疗风险的认识,减少护理投诉,降低护理风险,提高患者满意度及治疗配合程度和治疗积极程度。

Objective To investigate the application significance of risk management in the nursing care for the breast cancer patients treated by postoperative chemotherapy. Methods A total of 105 breast cancer patiens treated by postoperative chemotherapy were divided randomly into control group （ n = 52） and risk management group（ n = 53 ）. The patients in the control group received regular chemotherapy and symptom targe- ted measures were taken when chemotherapy related risks emerged. In the risk management group, the risks were evaluated, analyzed and prevented according to risk management procedure and methods in implementing chemo- therapy project. Results The nursing complaints and risk in chemotherapy in risk management group were low- er significantly than that of the control group（P 〈0. 05 ）. But satisfaction degree to the nursing care and thera- peutic aliance and active treatment lever in risk management group was higher significantly than that of the con- trol group （ P 〈 0. 05 for all）. Conclusion The risk management program in postoperative chemotherapy for breast cancer patients can improve nurses＇ recognition of chemotherapy related risks of nursing, reduce nursing complaints, lower nursing related risks and increase the satisfaction of patients and therapeutic aliance and active treatment lever.