心血管内科护理中存在的风险及对策分析

Analysis of Existing Risks and Strategies in the Nursing of the Department of Cardiovascular Medicine

目的观察心血管内科护理中存在的风险,并进行相应对策分析。方法对2013年1月—2015年12月到该院心血管内科进行治疗的患者共计875例病例的护理记录进行回顾性分析,找出其中发生的护理风险事件,对事件的分布情况和风险因素进行分析,进而对相关对策进行探讨。结果 875例患者中发生护理风险事件74例,发生率为8.46%。主要风险事件为坠床、跌倒、药物应用错误、标本送检错误、护患纠纷以及其他。其中跌倒的发生率最高,为39.19%。护理风险因素中护理人员因素居于首位,占55.41%。结论跌倒是主要的风险事件,而护理人员因素是主要导致风险事件发生的因素。因此需要加强风险防控措施,以减少风险事件的发生。

Objective To observe the risks existing in the department of cardiovascular medicine and analyze the corresponding strategies. Methods 875 cases treated in the department of cardiovascular medicine of our hospital from January2013 to December 2015 and their nursing records were retrospectively analyzed, and the nursing risk events were found out,the distribution and risk factors of events were analyzed, and then the relevant strategies were discussed. Results In the 875 cases of patients, nursing risk event occurred to 74 cases, and the incidence rate was 8.46%, the main risk events were falling down from bed, falling, drug application mistakes, specimen inspection mistakes, nurse-patient disputes and others,and the incidence rate of falling was the highest, accounting for 39.19%, and the nursing personnel factor was in the first place in the nursing risk factors, accounting for 55.41%. Conclusion Falling is the main risk event, and the nursing personnel factor is the main cause of risk events, therefore, we need enhance the risk prevention and control measures in order to reduce the occurrence of risk events.