浅谈肝胆外科护理风险管理的研究进展

Research Progress of Nursing Risk Management in Department of Hepatobiliary Surgery

目的通过对比观察常规护理风险管理和系统护理风险管理对甲状腺切除术患者的护理效果,探讨护理风险管理在肝胆外科的研究进展。方法选取2012年1月-2014年12月在肝胆外科进行甲状腺切除术的患者200例,按照护理风险管理的模式不同分为对照组和观察组两组,每组各100例患者,其中对照组患者采取的是常规护理风险管理,观察组患者采取的是系统护理风险管理,比较两组患者的术后并发症发生率、住院时间和护理满意度。结果观察组患者的术后并发症发生率明显低于对照组患者（2%对10%）,差异有统计学意义（P〈0.05）;观察组患者的住院时间明显短于对照组患者（6.5天对11.6天）,差异有统计学意义（P〈0.05）;观察组患者的护理满意度明显高于对照组患者（98%对89%）,差异有统计学意义（P〈0.05）。结论在肝胆外科的临床工作中,加强护理人员的风险意识,准确识别评估围手术期的护理风险并采取相应的预防措施,不仅能减少患者术后并发症的发生率,还能缩短患者的住院时间,提高患者的护理满意度,值得在临床上推广应用。

Objective To through the contrast observation nursing effect of thyroidectomy patients in routine nursing risk management and system of nursing risk management,explore the nursing risk management on the research progress of hepatobiliary surgery. Methods From January 2012 to December 2014 in hepatobiliary surgery of thyroidectomy in200 patients,the difference was statistically significant（ P 〈0. 05）. Conclusions In the clinical work in the Department of hepatobiliary surgery,to strengthen the risk awareness of nursing staff,accurate identification of nursing risk and to take corresponding preventive measures,not only can reduce the incidence of postoperative complications,but also shorten the length of hospital stay,improve patient care satisfaction,it is worthy of clinical application.