护理安全管理对血液透析室护理质量的影响

Effect of nursing safety management on nursing quality in hemodialysis room

目的探究护理安全管理对血液透析室护理质量的影响。方法选取2018年5月~2019年5月我院收治的86例血液透析患者进行研究,采取随机数字表法分组为参照组(n=43)与研究组(n=43),各组对应护理人员为8名,分别采取常规护理管理、常规护理+护理安全管理。对比两组血液透析患者的不良事件总发生率、护理总满意度、安全知识认知度、护理质量及护理人员的操作技能水平、安全意识。结果研究组患者的不良事件总发生率(4.65%)低于参照组(23.26%),差异有统计学意义(P<0.05);研究组患者的护理总满意度(95.35%)高于参照组(79.07%),差异有统计学意义(P<0.05);研究组患者的安全知识认知度评分[(92.13±3.45)分]、护理质量评分[(88.36±4.27)分]高于参照组[(78.24±3.28)、(73.54±5.17)分],差异有统计学意义(P<0.05);研究组护理人员的操作技能水平评分[(93.46±4.21)分]、安全意识评分[(94.52±3.17)分]高于参照组[(83.14±5.12)、(85.14±3.25)分],差异有统计学意义(P<0.05)。结论采取护理安全管理能有效提升血液透析室的护理质量,减少血透患者的不良事件发生,提升其护理满意度。

Objective To explore the effect of nursing safety management on the quality of care in hemodialysis room.Methods A total of 86 hemodialysis patients admitted to our hospital from May 2018 to May 2019 were selected for the study, and divided into the reference group(n=43) and the research group(n=43) according to the random number table method with 8 corresponding nursing staff in each group. Routine nursing management and routine rursing +nursing safety management were adopted respectively. The total incidence of adverse events, total nursing satisfaction, awareness of safety knowledge, quality of nursing, operating skills and safety awareness of nursing staff were compared between the two groups. Results The total incidence of adverse events in the study group was 4.65%, lower than that in the control group(23.26%), the difference was statistically significant(P<0.05). The total nursing satisfaction of patients in the study group was 95.35%, higher than that of the reference group(79.07%), the difference was statistically significant(P<0.05). The scores of safety knowledge awareness([92.13±3.45] points) and nursing quality([88.36±4.27] points)in the study group were higher than those in the control group([78.24±3.28] and [73.54±5.17] points), with statistically significant differences(P <0.05). The scores of operating skill level([93.46 ±4.21] points) and safety consciousness([94.52±3.17] points) of nursing staff in the study group were higher than those in the control group([83.14±5.12] and[85.14±3.25] points), with statistically significant differences(P<0.05). Conclusion Adopting nursing safety management can effectively improve the quality of care in the hemodialysis room, reduce the occurrence of adverse events in hemodialysis patients, and improve their nursing satisfaction.