麻醉复苏室病人的护理隐患及防范方式研究

目的:分析识别麻醉复苏室病人的护理隐患,制定有效防范对策。方法:本研究中以2015年1月~2015年6月期间作为对照阶段,以2015年7月~2015年12月为观察阶段。对照阶段按照麻醉复苏室常规护理流程对患者进行干预,观察阶段针对护理隐患进行识别,采取有效防范措施对患者进行干预。对比对照阶段、观察阶段患者在麻醉复苏室内各种并发症发生率方面的差异。结果:观察阶段中麻醉复苏室内各类护理隐患事件发生率为4.00%(2/50),显著低于对照阶段18.00%(9/50),组间数据对比经检验具有统计学意义(P<0.05)。结论:麻醉复苏室病人所存在的护理隐患包括环境不良、交接不到位、患者摔碰伤、护患沟通不良、病情监护缺陷、以及医院感染隐患等因素。针对上述护理隐患,实施针对性护理干预,可有效降低麻醉复苏室护理期间各类护理隐患事件发生率,提高安全性,值得临床应用并推广。

Objective: to analyze and identify the hidden danger of the patients in anesthesia recovery room, and to make effective preventive measures. Methods: in this study, in June January 2015 as the control phase, in July 2015 ~2015 December as the observation phase. In the control stage, according to the routine nursing process of the anesthesia recovery room, the patients were intervened, the observation period was identified, and the effective measures were taken to prevent the patients. The difference of the incidence rate of various complications in the patients during the anesthesia recovery period was compared with the control stage and the observation stage. Results: Observation of the stage in anesthesia recovery room of the nursing risk events occurrence rate is 4.00%(2 / 50), significantly lower than that of the control phase 18.00% 9/50 and between groups comparison data by checking with statistical significance(P < 0.05). Conclusion: anesthesia recovery room patients, the existence of nursing risks include adverse environment, handover is not in place, the patient fell bumps, poor communication, condition monitoring defects, and hospital infection risk factors of nurses and patients. In view of the above nursing hidden danger, the implementation of targeted nursing intervention can effectively reduce the incidence of various types of nursing hidden trouble in the recovery room of anesthesia, improve the safety, it is worthy of clinical application and promotion.