风险管理在继发性噬血细胞性淋巴组织细胞增生症患者中的应用研究

The study of risk management in patients with secondary hemophagocytic lymphohistiocytosis

目的探讨风险管理在继发性噬血细胞性淋巴组织细胞增生症患者中的应用效果。方法选择2009年1月至2015年6月收治的继发性噬血细胞性淋巴组织细胞增生患者65例,分为对照组30例,干预组35例。对照组给予常规高热、药物及预防出血护理;干预组在常规护理的基础上实施评估风险隐患、制订噬血细胞性淋巴组织细胞增生的相关知识培训方案、建立风险预警机制构建病情观察关键点等风险管理。结果实施风险管理后继发性噬血细胞性淋巴组织细胞增生患者的护理意外事件及护理纠纷发生率低于对照组(P<0.05),患者满意度高于对照组(P<0.05)。结论风险管理能够降低继发性噬血细胞性淋巴组织细胞增生患者护理意外事件及护理纠纷发生率,提高患者满意度。

Objective To explore the effect of risk management in patients with secondary hemophagocytic lymphohistiocytosis. Methods A total of65 patients with secondary hemophagocytic lymphoid tissue hyperplasia were selected from January 2009 to June 2015,and the patients were divided into control group（ n = 30） and the intervention group（ n = 35）. The control group was given routine hyperthermia,drug and prevention of bleeding care. On the basis of routine nursing,The intervention group were implemented risk assessment,the development of hemophagocytic lymphoid tissue cell proliferation related knowledge training program,the establishment of risk early warning mechanism to build the key observation of the disease risk management. Results After implementing risk management,the incidence of nursing accidents and disputes in patients with secondary hemophagocytic lymphohistiocytosis were lower than the control group（ P〈0. 05）,the patient satisfaction was higher than the control group（ P〈0. 05）. Conclusion Risk management can reduce the incidence of nursing accidents and nursing disputes among patients with secondary lymphocyte hyperplasia and improve patient satisfaction.