护理风险管理在导管室中的应用

Application of nursing risk management in catheter room

目的探讨护理风险管理在导管室中的应用。方法选取入住我科室需经介入治疗的肿瘤患者100名,随机分为实验组和对照组,实验组患者采用严格的护理风险管理模式对患者进行护理,对照组采用传统的操作护理模式。治疗结束后,分别对患者术后的不良反应、对操作的满意度及护理人员差错事故进行统计分析。结果两组患者在年龄、性别、文化程度以及疾病名称方面比较,差异并无统计学意义,基线具有可比性。实验组患者在经过护理风险模式管理之后,与对照组在尿潴留、失眠、肢体疼痛以及迷走反射方面比较,得出P<0.05,差异具有统计学意义,但是在血肿、心律失常方面比较,P>0.05差异无统计学意义。两组患者在满意度方面比较,术前健康教育情况,两组患者均以较满意为主,实验组有27位,对照组有29位,经秩和检验得出,Z=-14.16,P<0.0001;在护士沟通能力方面、病情进展了解情况以及术后健康教育情况经秩和检验得出P<0.0001,但是在护士服务态度评价方面经秩和检验得出Z=0.33,P>0.05,差异无统计学意义。结论在导管室实行风险管理之后,患者术后并发症的发生率明显降低,对医务人员的满意度有所提高,值得在临床进一步推广应用。

Objective： To investigate nursing risk management in the cath lab. Methods： Check my department is sub- jeer cancer patients 100 interventional treatment were randomly divided into experimental and control groups, the experi- mental group were treated with strict risk management model of nursing care for patients in the control group using the tradi- tional operating model of care. After the end of treatment were adverse reactions in patients after surgery, and the operation of satisfaction and nursing errors and accidents for statistical analysis, Results ： Comparison of the two groups in age, sex, educational level, and the names of diseases, the differenee was not statistically significant, comparable baseline. After the experimental group were nursing risk management mode, with the control group in urinary retention, insomnia, limb pain and vagal aspect comparison,P 〈 0. 05, the difference was statistically significant, but relatively hematoma, arrhythmia as- pect, P 〉 0. 05 the difference was not statistically significant. Comparison of the two groups in terms of satisfaction, preop- erative health education, the two groups of patients are more satisfied with the main experimental group 27, control group 29 by rank sum test results, Z = -14. 16,P 〈 0. 0001; nurse communication capabilities, understand the situation and pro- gress of the disease after health education situation by rank sum test results P 〈 0. 0001, but the attitude of nurses in service evaluation by rank sum test results Z = 0. 33 ,P 〉 0. 05, the difference was not statistically significant. Conclusion： After the implementation of risk management in the cath lab, the incidence of postoperative complications was significantly re- duced, the medical staff satisfaction has increased, worthy of further clinical application.