胸外科护理风险的原因及护理风险管理的实践与成效

Causes of Thoracic Surgery Nursing Risks and Practice Effect of Nursing Risk Management

目的研究胸外护理风险的原因及护理风险管理的实践与成效。方法选取我院16年1月至18年12月收治的胸外科患者4000例作为研究对象,我院自17年6月开始施行急诊护理风险管理,按照执行时间顺序分为研究组与对照组各2000例;对照组为17年6月前收治的急诊科患者2000例,均采用常规护理管理;研究组为17年6月后收治的急诊科患者2000例,均采用风险护理管理。对比两组在不同护理管理模式下,护理人员的护理失误、护理缺失、患者投诉以及安全隐患等情况的差别。结果在患者满意度与护理质量方面,研究组数据明显优于对照组(P<0.05);对于护理人员的护理失误、护理缺失、患者投诉以及安全隐患方面数据而言,对照组数据明显比研究组高(P<0.05)。结论对于急诊科患者而言,采用风险护理管理能够有效提升患者满意度与护理质量,保障患者与护理人员的安全与护患关系,值得应用推广。

Objective to study causes of thoracic surgery nursing risk,practice and effect of nursing risk management.Methods choose 4000 cases thoracic surgery patients admitted to our hospital from January 16 to December 18 as research objects.Since June 17,our hospital has carried out emergency nursing risk management,divide them into study and control group according to time sequence,2000 cases emergency department patients before and after June 17 in each group.Control group was treated with routine nursing management,and study group with risk nursing management.Compare difference of nursing errors,nursing deficiencies,patients'complaints and safety risks between two groups under different nursing management modes.Results patients'satisfaction and nursing quality data of study group was significantly better than control group(P<0.05);data of nursing errors,nursing deficiencies,patients'complaints and potential safety hazards of control group were significantly higher than study group(P<0.05).Conclusion risk nursing management can improve satisfaction and nursing quality of emergency patients effectively,ensure safety and nurses-patient relationship,which is worthy of application and promotion.