风险因素管理对发热门诊收治患者风险事件发生率的影响

Effect of risk factor management on the incidence of risk events in patients admitted in the fever clinic

目的 研究风险因素管理对发热门诊收治患者风险事件发生率的影响。方法 将2021年5月—2022年4月来我院接受治疗的100例门诊患者,以随机抽样法将其分为观察组和对照组各50例,将32例护理人员以随机抽样法划分为风险因素管理组和常规管理组,各16例,观察组接受风险因素管理组干预,对照组接受常规管理组干预。对比护理干预后,两组护理组人员的护理考核成绩、对风险事件的敏感度,两组患者的治疗指标以及风险事件发生率。结果 风险因素管理组的理论知识和实操能力明显优于常规管理组,P<0.05;风险因素管理组的风险知识掌握程度、风险应对能力和自身防护意识评分高于常规管理组,P<0.05;观察组的体温降至正常用时和病情好转明显短于对照组,P<0.05;观察组的风险事件发生率为2%,明显低于对照组的16%,P<0.05。结论 风险因素管理有利于提高发热门诊的护理质量,可有效地对引发风险事件的因素进行预控,降低风险事件的发生率,提升患者的就诊体验。

Objective To study the effect of risk factor management on the incidence of risk events in patients admitted to fever clinic.Methods One hundred outpatients treated in our hospital from May 2021 to April 2022 were divided into patient observation group and control group with 50 cases in each group by random sampling method.Then 32 nurses were divided evenly into risk factor management group and routine management group by random sampling method as well.The patients in the observation group were managed by the nurses of risk management group,while those in the control group were treated with routine nursing management by the nurses of the routine management group.After nursing intervention,nursing assessment scores,sensitivity to risky events,treatment indexes of patients and incidence of risky events were compared between the two nursegroups.Results The scores of theoretical knowledge and practical ability in the risk factor management group were significantly higher than those of the routine management group(P<0.05).The scores of risk knowledge mastery,risk coping ability and self-protection awareness of the risk factor management group were higher than those of the routine management group(P<0.05).The time for body temperature resuming normal and conditions improving in the patient observation group was significantly shorter than that in the patient control group(P<0.05).The incidence of risk events in the observation group was significantly lower than in the control group(2%vs.16%,P<0.05).Conclusion Risk factor management is beneficial for the improvement of the nursing quality in fever clinic,effectively pre-controlling the factors triggering risk events,reducing the incidence of risk events,and improving patients’consultation experience.