传染病重症护理中实施风险管理效果分析

Analysis on the effect of implementing risk management in the intensive care for infectious diseases

目的分析在传染病重症护理中实施风险管理的效果。方法江苏大学附属镇江三院自2014年对传染病重症护理实施风险管理,通过在护理风险管理前后,分别对传染病重症护理护士及患者进行问卷调查。调查护士91名,评价风险管理前后护士的风险管理意识、态度、行为及护理质量;患者178例(风险管理前后各89例),比较风险事件发生率、护患纠纷投诉率、护理满意率等指标。结果实施风险管理后,护士的风险管理意识(t=2.21,P=0.03)、风险管理态度(t=2.63,P=0.01)、风险管理行为(t=2.36,P=0.02)及护理质量考核评分(t=2.22,P=0.03)均高于实施前,差异有统计学意义;风险事件(1.12%vs6.74%)、护患纠纷(0.00%vs 8.99%)发生率均低于实施前,其中护患纠纷发生率明显降低,差异有统计学意义(P=0.007),患者满意率由实施前的82.02%升高到91.01%,但差异无统计学意义(χ2=3.082,P=0.079)。结论实施护理风险管理,能提高传染病重症护士的风险意识及工作质量,有利于减少护患纠纷发生率。

Objective To analyze the effect of implementing risk management in the intensive care for infectious diseases. Methods Since 2014, Zhenjiang third hospital affiliated to Jiangsu university had implemented risk management for intensive care for infectious diseases, and nurses and patients in infectious disease intensive care unit were investigated with questionnaires respectively before and after implement of risk management. 91 nurses were surveyed to evaluate their risk management awareness, attitude, behavior and nursing quality; 178 patients were surveyed （89 cases before and after risk management respectively） to compare incidence of risk events, dispute complaints and satisfaction rate, etc. Results After implementation of risk management, assessment scores of nurses＇ risk management awareness （t=2.21, P=0.03）, risk management attitude （t=2.63, P=0.01）, risk management behavior （t=2.36, P=0.02） and nursing quality （t=2.22, P=0.03） were all higher than before, and the differences were statistically significant; incidence of risk events （1.12% vs 6.74%）, disputes ＇between nurses and patients （0.00% vs 8.99%） were lower than before, and incidence of disputes between nurses and patients decreased significantly, the difference was statistically significant （P=0.007）. Patients＇ satisfaction rate increased from 82.02% to 91.01%, but the difference was not statistically significant （χ^2=3.082, P=0.079）. Conclusions Implementation of risk management can improve nurses＇ risk awareness and nursing quality in the intensive care for infectious diseases, and thus reduce incidence of disputes between nurses and patients.