风险管理在血液透析护理管理中的有效应用

Effective Application of Risk Management in the Nursing Management of Hemodialysis

目的血液透析患者通过应用风险管理的护理方法进行干预,对患者所获得的护理应用效果进行深入研究。方法对该院在2017年1月—2018年1月这一期间内收治的患者随机抽取出124例需要进行血液透析的患者,把他们当成该次研究的研究目标,根据患者的例数将小组进行划分,分为观察组(n=62)和对照组(n=62)。其中,对照组患者单纯采取常规的护理方法进行干预,而观察组患者则以对照组患者的护理方法为基础,在应用风险管理进行辅助干预,然后对两组患者所获得的护理满意度以及血液透析后不良反应情况的发生概率进行严格比较。结果通过不同的护理方法进行干预之后,观察组患者所获得的护理总满意度达到了96.77%(60/62),其中42例患者表示十分满意,有18例表示满意,仅有2例表示不满意;对照组患者所获得的护理总满意度达到了85.48%(53/62),其中31例患者表示十分满意,22例患者表示满意,有9例患者表示不满意,两组间数据进行比较,差异有统计学意义(χ~2=10.648 2,P<0.05)。观察组患者血液透析之后,不良事件的发生率为:4.8%(3/62),1例患者出现低血压,1例患者出现导管堵塞,还有1例患者出现代谢失衡;而对照组患者经过血液透析之后,不良事件的发生率为:16.13%(10/62),有4例患者出现低血压,3例患者出现导管堵塞,3例患者出现代谢失衡,差异有统计学意义(χ~2=5.842 1,P<0.05)。结论血液透析患者在进行护理过程中,通过风险管理模式进行护理,能够使血液透析带来的危险降到最低,极大的提高了整个过程的安全性,使患者的生命安全得到有效保障,并且还能够提高患者的护理满意度,融洽医患之间的关系,值得在临床中得到广泛推广以及应用。

Objective To deeply study the nursing application effect of risk management in the nursing management of hemodialysis. Methods 124 cases of patients with hemodialysis admitted and treated in our hospital from January 2017 to January 2018 were selected and divided into two groups with 62 cases in each, the control group used the simple routine nursing intervention, while the observation group used the intervention of risk management on the basis of the control group, and the nursing satisfactory degree and occurrence probability of adverse reactions after the hemodialysis were compared between the two groups. Results After different nursing interventions, the total nursing satisfactory degree in the observation group reached 96. 77%(60/62), and 42 cases were very satisfied, and 18 cases were satisfied, only 2 cases were unsatisfied, in the control group, the total nursing satisfactory degree reached 85.48%(53/62), 31 cases were very satisfied, 22 cases were satisfied, and 9 cases were unsatisfied, and the differences between groups were obvious,(χ^2=10.648 2, P<0.05), and the incidence rate of adverse events after the hemodialyssi was 4.8%(3/62), 1 case had the hypotension, 1 case had the catheter obstruction, 1 case had the metabolic imbalance, and the incidence rate of adverse reactions was 16.13%(10/62)in the control group, 4 cases had the hypotension, 3 cases had the catheter obstruction, and 3 cases had the metabolic imbalance, and the differences were obvious, with statistical significance,(χ^2=5.842 1,P<0.05). Conclusion The risk management model of patients with hemodialysis can bring the risk to the lowest, greatly improve the safety of the whole course, effectively ensure the life security, and improve the nursing satisfactory degree and make the medical relationship harmonious, and it is worth wide promotion and application.