护理风险管理在神经内科护理工作中的应用

Application of Nursing Risk Management in the Nursing Work in the De-partment of Neurology

目的该次研究针对神经内科患者进行护理工作的分析和研究,探讨针对护理风险工作进行管理的相关内容,希望可以通过对护理工作的全面监督与管理,保证护理工作质量,提升患者护理满意程度。方法该院收集2014年10月—2016年10月近两年时间内的患者资料172例,以上患者均接受神经内科的临床治疗和临床护理。采取随机分组的方式将收集到的患者资料进行分组,针对不同组别的患者采取不同的护理干预,并进行护理风险的管理。记录两组患者护理期间的相关信息,并比较。结果通过该次研究发现,两组患者住院期间的护理干预时间差异无统计学意义,P>0.05。而实验组在护理过程中出现意外摔倒现象存在患者1例,输液不良反应患者存在1例,护理风险的发生几率为2.3%。对照组患者中存在意外摔倒患者4例,输液不良反应患者4例,还存在3例意外刺伤患者,以及财务丢失患者1例、护理设备缺失患者2例,和给药事故患者资料1例情况,护理风险发生几率为17.4%。数据信息说明,实验组临床护理效果明显优于对照组,实验组患者护理满意程度为97.7%,对照组护理满意程度为82.6%,两组比较差异有统计学意义(P<0.05)。结论针对神经内科住院患者采取风险管理的护理干预,能够降低患者发生意外的情况,并且能够提升患者病症的恢复效率,提升患者住院治疗和护理的安全性和护理满意程度,值得在临床中推广。

Objective To research the nursing work of patients in the department of neurology and discuss the related management contents of nursing risk work in order to comprehensively monitor and manage the nursing work, ensure the nursing working quality and improve the nursing satisfactory degree of patients. Methods 172 cases of patients with clinical treatment and clinical nursing in the department of neurology in our hospital from October 2014 to October 2016 were selected and randomly divided into two groups, different nursing intervention measures were adopted for different groups, and both groups were also given the nursing risk management, and the related information of the two groups was recorded during the nursing period, thus proving the reliable comparison data for the following research, and the nursing satisfactory degree of the two groups was paid attention to. Results The research showed that there was no statistical difference in the nursing intervention time between the two groups during the hospitalization period, P>0.05, in the experimental group, the accidental falling occurred to 1 case in the nursing course, transfusion adverse reactions occurred to 1 case, and the occurrence probability of nursing risks was 2.3%, in the control group, the accidental falling occurred to 4 cases, transfusion adverse reactions occurred to 4 cases, the accidental puncture occurred to 3 cases, financial loss occurred to 1 case, nursing equipment loss occurred to 2 case and administration accident occurred to 1 case and the occurrence probability of nursing risks was17.4%, and the data information showed that the clinical nursing effect in the experimental group was obviously better than that in the control group, and the difference in the nursing satisfactory degree between the experimental group and the control group had statistical significance,(97.7% vs 82.6%), P<0.05. Conclusion The nursing intervention of risk management for inpatients in the department of neurology can reduce the occurrence of accidents, improve the recovery rate of patients and improve the safety of hospitalization treatment and nursing satisfactory degree, which is worth clinical promotion.