肺泡蛋白沉积症患者全肺灌洗术中的风险管理

Risk management of pulmonary alveolar proteinosis patients undergoing whole lung lavage

总结12例肺泡蛋白沉积症患者行全肺灌洗术中应用霍尔三维模型进行风险管理的护理经验。针对疾病特殊性及全肺灌洗术的多重风险,对患者风险分级管控,提前预警;引入霍尔三维模型,以全肺灌洗术围手术期为线轴,以专科知识及思辨逻辑能力系统排查及处理风险隐患,提升安全护理效能。该组患者住院治疗护理4~29 d,症状好转出院。

To summarize nursing experience of risk management for 12 patients with pulmonary alveolar proteinosis undergoing whole lung lavage based on Hall’s three-dimensional model.According to the particularity of the disease and the multiple risks of whole lung lavage,the risk of patients was graded and controlled,and early warning was given.The Hall three-dimensional model was introduced to take the perioperative period of whole lung lavage as the axis,and the professional knowledge and logic thinking ability were used to systematically investigate and deal with risks and hidden dangers,so as to improve the safety nursing efficiency.The patients were hospitalized for 4-29 days and discharged after symptoms improved.