风险管理在呼吸内科病房护理管理中的效果分析

Analysis of the Effect of Risk Management in Nursing Management of Respiratory Medicine Wards

目的探讨在实施呼吸内科病房护理管理期间风险管理方式应用的可行性。方法选取2021年1月—2022年1月在四川绵阳市中心医院呼吸科工作的20名护理人员为研究对象,随机分为研究组和参照组,每组10名。其中,参照组实施常规护理管理,研究组在常规护理管理的基础上实施风险管理,每组选取30例患者参与管理服务,比较两组护理投诉率、护理纠纷发生率、护理风险事件总发生率及护理质量评分。结果研究组管理后的护理投诉率0.00%、护理纠纷发生率10.00%均较参照组的40.00%、50.00%更低,差异有统计学意义(P<0.05);研究组管理后的护理风险事件总发生率3.33%较参照组的26.67%更低,差异有统计学意义(P<0.05);研究组风险防范(23.59±1.25)分、基础护理(22.19±1.69)分、消毒隔离(22.12±2.25)分、病房管理(22.19±2.15)分较参照组风险防范(17.49±3.52)分、基础护理(18.59±2.49)分、消毒隔离(18.35±2.25)分、病房管理(18.25±2.25)分更高,差异有统计学意义(P<0.05)。结论风险管理较常规护理管理的效果更佳,可将护理投诉率、护理纠纷发生率以及护理风险事件发生率显著降低,并有效提升护理质量,促进呼吸内科护理质量的提升。

Objective To explore the feasibility of risk management approach application during the implementation of nursing management in respiratory medicine wards.Methods Twenty nursing staff working in the department of respiratory medicine of Mianyang Central Hospital in Sichuan Province from January 2021 to January 2022 were selected as study subjects and randomly divided into a study group and a reference group,with 10 patients in each group.Among them,the reference group implemented conventional nursing management,and the study group implemented risk management on the basis of conventional nursing management,and 30 patients in each group were selected to participate in the management service.The nursing complaint rate,the incidence of nursing disputes,the total incidence of nursing risk events and the nursing quality score were compared between the two groups.Results The nursing complaint rate 0.00%and nursing dispute incidence rate 10.00%in the study group after management were lower than 40.00%and 50.00%in the reference group,and the difference was statistically significant(P<0.05).The total incidence of nursing risk events in the study group after management was lower at 3.33%compared to 26.67%in the reference group,and the difference was statistically significant(P<0.05).The risk prevention(23.59±1.25)points,primary care(22.19±1.69)points,sterile isolation(22.12±2.25)points,and ward management(22.19±2.15)points were higher in the study group than in the reference group for risk prevention(17.49±3.52)points,primary care(18.59±2.49)points,sterile isolation(18.35±2.25)points,and ward management(18.25±2.25)points,the difference was statistically significant(P<0.05).Conclusion Risk management is more effective than conventional nursing management,which can significantly reduce the rate of nursing complaints,nursing disputes,and nursing risk events,and effectively improve the quality of nursing care and promote the quality of nursing care in respiratory medicine.