伤口护理风险预案的制订及应用效果评价

The development and application of wound care risk protocol in risk management of wound care

目的探讨伤口护理风险预案在伤口护理风险管理中的作用。方法通过文献检索和回顾性分析,找出伤口护理中常见的风险问题,制订相应的伤口护理风险预案,设定风险管理八步骤方法,培训护士掌握并应用。评价风险预案管理实施前后的患者满意率、不良事件发生率和等级。结果风险预案实施后的不良事件发生率为2.037%,低于实施前的7.805%,差异有统计学意义(P<0.05);患者满意率为(98.62±0.63)%,高于实施前的(95.61±0.81)%,差异有统计学意义(P<0.05)。不良事件等级的严重度低于实施前(P<0.05)。结论伤口护理风险预案有助于降低患者不良事件发生率及其严重度,可提高患者满意率,是伤口护理风险管理的有效方法。

Objective To explore the effect of wound ＇care risk protocol for risk management of wound care. Methods The risk factors of wound care were identified based on literature review and retrospective cases analysis. Then,the eight step wound care risk protocol was developed and applied in nursing management of wound care after nurse training. The patient satisfaction,the incidence and severity of adverse events were recorded before and after the implementation of wound care risk protocol. Results After the implementation of wound care risk protocol,the incidence of adverse events decreased from 7.805% to 2.037%（P〈0.05）. The patient satisfaction increased from（98.62±0.63）% to （95.61±0.81）%（P〈0.05）. The severity of adverse events was lower than before（P〈0.05）. Conclusion The implementation of wound care risk protocol can reduce the incidence and severity of adverse events,and increase patient satisfaction. It is an effective method for risk management of wound care.