危机管理在妇产科急诊接诊护理风险管理中的应用效果

Application effects of crisis management in nursing risk management of emergency reception in department of gynecology and obstetrics

目的:观察危机管理在妇产科急诊接诊护理风险管理中的应用效果。方法:回顾性分析2017年10月至2018年9月的320例产妇的临床资料,将2017年10月至2018年3月实施护理风险管理的160例产妇作为对照组,将2018年4月至2018年9月在护理风险管理基础上实施危机管理的160例产妇作为观察组。比较两组护理风险、医疗纠纷发生情况、临床护理满意度及母婴结局。结果:观察组健康教育、服务态度及护理操作满意度均明显高于对照组,护理风险事件及医疗纠纷发生率均明显低于对照组,差异均有统计学意义(P<0.05);观察组的剖宫产及新生儿窒息的发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论:危机管理应用在妇产科急诊接诊护理风险管理中,有利于降低护理风险事件及医疗纠纷事件发生率,且能在一定程度上提高产妇护理满意度,改善母婴结局。

Objective: To investigate application effects of crisis management in nursing risk management of emergency reception in department of gynecology and obstetrics. Methods: The clinical data of 320 pregnant women in the emergency reception of the department of gynecology and obstetrics from October 2017 to September 2018 were retrospectively analyzed. They were divided into control group (n=160, from October 2017 to March 2018) and observation group (n=160, from April 2018 to September 2018) according to the reception time. The control group was given the risk management, while the observation group used the crisis management based on that of the control group. The nursing risks, medical disputes, clinical nursing satisfaction, maternal-infant outcomes were compared between the two groups. Results: The health education, service attitude and satisfaction with nursing operation in the observation group were higher than those in the control group;the incidences of nursing risk events and medical disputes in the observation group were lower than those in the control group;and the differences were statistically significant (P<0.05). The incidences of cesarean section and neonatal asphyxia in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusions: The crisis management in the nursing risk management of emergency reception in the department of gynecology and obstetrics can decrease the incidences of nursing risk events and medical disputes, increase the maternal nursing satisfaction, and improve the maternal-infant outcomes.