护理警示标识在高压氧风险护理中的效果分析

Probe into the effect of nursing warning signs in the risk nursing of hyperbaric oxygen

目的分析护理警示标识在高压氧风险护理中的应用效果。方法山东省菏泽市立医院高压氧科自2018年3月开始在高压氧护理风险管理中采用护理警示标识,2017年3月至2018年2月实施基础护理以及护理风险事件对症处理的55例高压氧治疗患者作为常规组,2018年3月至2019年3月实施基础护理以及高压氧护理警示标识干预的55例高压氧治疗患者作为试验组。回顾性分析2组患者临床资料。比较2组并发症发生率、皮肤受损率、管道滑脱率、氧浓度超标率以及护理满意度。结果试验组并发症总发生率、皮肤受损率、管道滑脱率、氧浓度超标率分别为9.09%(5/55)、1.82%(1/55)、1.82%(1/55)、0,常规组分别为25.45%(14/55)、12.73%(7/55)、32.72%(18/55)、7.27%(4/55),2组比较差异有统计学意义(χ2值为7.544~33.414,P<0.01)。常规组和试验组患者对护理满意度分别为81.82%(45/55)和98.18(54/55),2组比较差异有统计学意义,χ2值为14.869,P<0.01。结论通过在高压氧护理风险管理中使用护理警示标识可提升护理人员风险意识,降低患者并发症发生率、皮肤受损率、管道滑脱率、氧浓度超标率,提升患者满意度,应在临床大力传播。

Objective To analyze the application effect of nursing warning signs in hyperbaric oxygen risk nursing.MethodsSince March 2018,the hyperbaric oxygen Department of Heze City hospital in Shandong Province had adopted nursing warning signs in the risk management of hyperbaric oxygen nursing.55 patients who were treated with hyperbaric oxygen from March 2017 to February 2018 were taken as the regular group,and the basic nursing and hyperbaric oxygen nursing warning signs were implemented in the hospital from March 2018 to March 201955 patients with hyperbaric oxygen were treated as experimental group.The clinical data of each group were analyzed retrospectively.The occurrence rate of complications,skin damage rate,pipeline slippage rate,oxygen concentration exceeding standard rate and nursing satisfaction were compared between the two groups.ResultsThe incidence of complications was 9.09%(5/55)in the experimental group and 25.45%(14/55)in the routine group,the difference was statistically significant(χ2 value was 9.367,P<0.05).The rate of skin damage in the experimental group was 1.82%(1/55),and that in the routine group was 12.73%(7/55),the difference was statistically significant(χ2 value was 8.822,P<0.05).The slip rate of the experimental group was 1.82%(1/55),and that of the conventional group was 32.72%(18/55),the difference was statistically significant(χ2 value was 33.414,P<0.05).The excess rate of oxygen concentration was 0.00%in the experimental group and 7.27%(4/55)in the conventional group,the difference was statistically significant(χ2 value was 7.544,P<0.05).The satisfaction rate of the experimental group was 98.18%(54/55),and that of the routine group was 81.82%(45/55),the difference was statistically significant(χ2 value was 14.869,P<0.05).ConclusionThrough the use of nursing warning signs in hyperbaric oxygen nursing risk management,we can improve the risk awareness of nursing staff,reduce the incidence of complications,skin damage rate,pipeline slippage rate,oxygen concentration exceeding the standard rate,and improve patient satisfaction,which should be vigorously spread in clinic.