护理风险管理在经桡动脉冠状动脉介入治疗术中的应用

Application of Nursing Risk Management in Transradial Coronary Intervention

目的:研究分析护理风险管理在经桡动脉冠状动脉介入治疗术中的应用。方法:选取2016年3月-2018年2月期间于本院行经桡动脉冠状动脉介入治疗术的冠心病患者82例作为研究对象,按照随机数字表法将其分为对照组和观察组,各41例。对照组进行常规护理管理,观察组进行护理风险管理,分析比较两组手术无菌操作评分、护理风险事件发生情况和患者护理舒适度评分。结果:观察组实施护理风险管理后器械准备、消毒处理质量评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组实施护理风险管理后护理缺陷、意外事件、护理纠纷的发生情况明显低于对照组,差异有统计学意义(x^2=4.479,P=0.034)。观察组实施护理风险管理后心理、环境、社会、生理各项维度评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:对进行了高风险的经桡动脉冠状动脉介入治疗术的患者实行护理风险管理,可以使护理风险事件发生率降低,使护理质量提高,在临床护理中值得推广。

Objective:To study and analyze the application of nursing risk management in transradial coronary intervention.Method:A total of 82 patients with coronary artery disease who underwent transradial coronary intervention in our hospital from March 2016 to February 2018 were selected as the study objects.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was given routine nursing management,the observation group was given nursing risk management.The operation aseptic operation scores,nursing risk events and patients’ nursing comfort scores between the two groups were analyzed and compared.Result:After the implementation of nursing risk management,the scores of equipment preparation and quality of disinfection treatment in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05). After the implementation of nursing risk management,the incidence of nursing defects,accidents and nursing disputes in the observation group was significantly lower than that in the control group,the difference was statistically significant( x^2=4.479,P=0.034).After the implementation of nursing risk management,the scores of psychological, environmental,social and physiological dimensions in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of nursing risk management for patients with high-risk transradial coronary intervention can reduce the incidence of nursing risk events and improve the quality of nursing,which is worthy of promotion in clinical nursing.