浅析神经内科护理中潜在的不稳定因素与安全对策

Potential Instability Factors and Safety Countermeasures of Nursing in the Department of Internal Medicine

目的研究分析神经内科护理中的一些因此危险因素,给出一些解决对策,避免其发生。方法根据我院接收的神经内科患者来进行研究分析,探讨临床护理中的一些隐藏危险因素,制定安全措施防止其发生。结果神经内科护理中不稳定因素主要有意外跌伤、坠床、烫伤、舌咬伤、意外拔管、压疮、窒息、输液外渗等,发生率为17.14%(120/700),其中,压疮、意外跌伤、舌咬伤、坠床、输液外渗是最主要的不稳定因素。实施处理干预措施前意外事件发生率为21.59%(84/389),实施后意外事件发生率降低为11.58%(36/311)。结论神经内科护理工作需要护理人员提升服务能力,加强管理,避免潜在的不安全因素,制定安全可靠的护理措施。

Objective To study the risk factors of nursing in the Department of internal medicine,and give some countermeasures to avoid it.Methods According to the Department of internal medicine patients received in our hospital to study and analyze some of the hidden risk factors in clinical nursing,and to develop safety measures to prevent it from happening.Results Neurology nursing unstable factors are accidental injuries,falling bed,burns,tongue bite,accidental extubation,bedsore,asphyxia,infusion extravasation etc.,the occurrence rate was 17.14%（120/700）.Among them,pressure sores,unexpectedly,tongue bite,falling bed,infusion extravasation is the main factors of instability.The occurrence rate of accidental incident was 21.59%（84/389）,and the rate of accidental incident was decreased to 11.58%（36/311） after the implementation of the treatment intervention.Conclusion Nursing staff in the Department of internal medicine need to enhance the service ability,strengthen the management,avoid potential unsafe factors,and develop safe and reliable nursing measures.