风险管理在脑血管危重急诊患者护理中的应用

Application of risk management in nursing intervention of patients with critical cerebral vascular disease

目的：探讨应用风险管理在脑血管疾病患者护理中的干预效果。方法选取2013年6月—2014年6月山东省枣庄市立医院急诊科收治的脑血管危重患者120例,按入院时间分为两组,对照组（n＝60）采用常规护理,观察组（n＝60）在此基础护理增加风险管理干预,比较两组护理差错率、并发症情况、住院时间和对护理满意度。结果观察组护理差错率1.7％,并发症发生率3.3％,均低于对照组,差异有统计学意义（χ^2值分别为4.678,4.904；P〈0.05）；观察组患者住院时间（19.8±2.5）d、住院费用（6789.5±78.4）元,均低于对照组,差异有统计学意义（t值分别为2.674,4.782；P〈0.05）；观察组患者满意率为96.6％,对照组为84.0％,两组比较差异有统计学意义（ Z＝－4.980,P〈0.05）。结论风险管理护理的实施可以优化护理效果,有效降低风险事件发生,提高患者急救成功率,降低患者的经济负担,提升患者的治疗满意度,值得临床推广与应用。

Objective To explore the intervention effect of risk management in critical patients with cerebral vascular disease in our hospital.Methods Totally 120 cases of critical patients with cerebral vascular disease admitted in emergency department of our hospital from June 2013 to June 2014 were divided into two groups by admission time. 60 cases in the control group were given routine nursing, while 60 cases in the study group were given risk management on the basis of routine nursing. Nursing error rate, complications, hospitalization time and patient satisfaction degree toward nursing work were compared between two groups. Results The nursing error rate and incidence rate of complications in the study group were1. 7% and 3. 3%, which were lower than that in the control group （χ^2=4.678,4.904;P〈0.05）. The hospitalization time and hospitalization costs in the study group were[（19.8±2.5）d, （6 789.5±78.4）yuan], which were lower than that in the control group （ t=2.674,4.782;P〈0.05） . The patient satisfaction rate in the study group was 96.6%, and in the control group was 84. 0% （ Z=-4. 980, P〈0. 05 ） . Conclusions The implementation of nursing risk management can optimize the nursing effect, effectively reduce the incidence rate risk events, improve the success rate of patients in emergency, reduce the economical burden of patients and improve patient satisfaction, so it is worthy of clinical popularization and application.