风险管理在胸外科护理管理中的应用

Application of Risk Management in Nursing Management of Thoracic Surgery

目的探讨风险管理在胸外科护理管理中的应用价值。方法该组研究纳入该院收治的30例胸外科患者,病例资料选取时间从2015年4月-2019年4月,将所有患者按照随机数字表法分成两组。对照组15例患者实施常规化护理,而研究组15例患者实施风险管理,记录护理工作中的护理差错、护理并发症和护理投诉事件,比较两组患者的护理风险事件发生率,并评估两组患者的护理满意度。结果研究组患者中发生护理差错、护理并发症和护理投诉事件等护理风险事件的发生率为6.66%,明显低于对照组的发生率40.00%;两组间数据对比差异有统计学意义(P<0.05)。研究组患者的护理满意度为93.33%,明显高于对照组的满意度60.00%,两组间数据对比差异有统计学意义(P<0.05)。管理后两组患者的护理病历书写评分和护理综合评分均有所提高,且研究组患者的护理病历书写评分和护理综合评分均高于对照组,差异有统计学意义(P<0.05)。结论在胸外科护理管理中积极开展风险管理有利于降低护理风险事件发生率,提高文书书写质量和整体体护理水平,并且提高患者对护理工作的满意度。

Objective To explor e the application value of risk management in nursing management of thoracic surgery.Methods Thirty patients with thoracic surgery admitted to the hospital were included in this study. The case data were selected from April 2015 to April 2019. All patients were divided into two groups according to the random number table method. 15 patients in the control group were given routine care, while 15 patients in the study group were given risk management. Nursing errors, nursing complications, and nursing complaints were recorded during the nursing work. The incidence of nursing risk events was compared between the two groups, and two patients’ satisfaction with care were evaluated.Results The incidence of nursing risk events such as nursing errors, nursing complications, and nursing complaint events among patients in the study group was 6.66%, which was significantly lower than the incidence of 40.00% in the control group. There was a statistically significant difference in data comparison between the two groups(P<0.05). The nursing satisfaction of patients in the study group was 93.33%, which was significantly higher than that of the control group, 60.00%.There was a statistically significant difference in data comparison between the two groups(P<0.05). After the management,the nursing record writing score and comprehensive nursing score of the two groups of patients were improved, and the nursing record writing score and comprehensive nursing score of the study group were higher than those of the control group,and the difference was statistically significant(P<0.05). Conclusion Active risk management in nursing management of thoracic surgery is conducive to reducing the incidence of nursing risk events, improving the quality of written documents and overall nursing level, and improving patient satisfaction with nursing work.