护理风险管理在颈动脉狭窄支架置入术中的应用效果

Application of nursing risk management in stent implantation for carotid artery stenosis: analysis of its clinical effect

目的探讨护理风险管理在颈动脉狭窄支架置入术中的应用效果。方法自2015年6月开始对颈动脉支架植入术的53例患者(观察组)实施风险管理,采取风险鉴别、风险评估、风险处理、风险管理效果评价的方法,取得很好的效果,并与2015年6月前年未行风险管理的52例同类患者(对照组)进行护理质量和护理风险事件发生率的比较。结果实施护理风险管理后,对照组和观察组平均优良率由实施护理风险管理前的50.5%提高到实施护理风险管理后的81.1%,平均不合格率由之前的6.2%降低到之后的1.9%;护理风险事件的发生率由实施前的25.0%,降低到实施后的7.5%,差异均有统计学意义(均P<0.05)。结论实施护理风险管理,不断提高了护理质量,规避护理风险事件的发生,特别对于颈动脉支架置入术患者具有高风险手术和高风险人群的患者而言效果明显,在临床护理中值得推广。

Objective To discuss the application of nursing risk management in stent implantation for carotid artery stenosis. Methods Starting from June 2015, nursing risk management was conducted in a total of 53 patients with carotid artery stenosis who received stent implantation （observation group）, and satisfactory results were obtained. The risk management contents included risk identification, risk assessment, risk treatment and risk management. Other 52 patients with carotid artery stenosis, who were encountered in authors＇ hospital before June 2015 and who had not received nursing risk management, were collected and used as the control group. Nursing quality and the incidence of nursing risk events were compared between the two groups. Results The average excellent nursing rates in the observation group and in the control group were 81.13% and 50.5% respectively. The average failure rates in the observation group and in the control group were 1.88% and 6.20% respectively. The incidences of nursing risk events in the observation group and in the control group were 7.5% and 25.0% respectively. All the differences in above indexes between the two groups were statistically significant （all P〈0.05）. Conclusion The implementation of nursing risk management can constantly improve the quality of nursing care and avoid the occurrence of nursing risk events, which is especially effective for patients who have high surgical risk to carotid stenting and who are in high risk clinical conditions. Therefore, nursing risk management is worthy of promotion in clinical nursing praetiee.