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护理风险管理在心血管内科的应用效果(1)
http://www.100md.com 2017年10月8日 《中国当代医药》 2017年第23期
     [摘要]目的 探讨护理风险管理在心血管内科的应用效果。方法 选取2015年8月~2016年10月到我院就诊的患有心血管疾病的患者80例,按数字单双号随机为观察组与对照组,各40例。对照组实施常规方法护理,观察组在对照组基础上,实施护理风险管理。比较两组患者的护理合格率、护理满意度及不良事件发生率。结果 观察组患者护理合格率(95.00%)、护理满意度(92.50%)高于对照组(77.50%、72.50%),护理不良事件发生率(5.00%)低于对照组(20.00%),差异有统计学意义(P<0.05)。结论 将护理风险管理应用到心血管病症患者的临床治疗中,不仅能使患者的护理满意度提升,而且还能使护理服务质量提高、护理风险因素减少、护理不良事件发生率降低,从而保证患者安全。

    [关键词]护理风险管理;心血管内科;应用效果

    [中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2017)08(b)-0161-03

    Application effect of nursing risk management on cardiovascular medicine

    XIAO Bi-qing XIAO Feng-lian LIU Shao-hua ZHU Hong

    The People′s Hospital of Jishui County in Jiangxi Province,Jishui 331600,China

    [Abstract]Objective To explore the application effect of nursing risk management on cardiovascular medicine.Methods 80 patients with cardiovascular disease in our hospital from August 2015 to October 2017 were selected and randomly divided into the observation group and the control group according to the odd and even numbers,with 40 cases in each group.The control group was treated with conventional methods,while the observation group was given nursing risk management on the basis of the control group.The nursing pass rate,nursing satisfaction and the incidence of adverse events were compared between two groups.Results The nursing pass rate (95.00%) and nursing satisfaction (92.50%) in the observation group were higher than those in the control group(77.50%,72.50%),the incidence of adverse events (5.00%) were lower than that in the control group (20.00%),and the differences were statistically significant (P<0.05).Conclusion The application of nursing risk management to the clinical treatment of patients with cardiovascular disease can not only improve the patients′nursing satisfaction,but also improve the quality of nursing care,reduce the risk factors,decrease the incidence of nursing adverse events,so as to ensure the safety of patients.

    [Key words]Nursing risk management;Cardiovascular medicine;Application effect

    護理风险是表示在临床护理期间可能发生的不确定有害因素,具有后果严重和不确定性大、风险高和多变的特点。正因为这些不安全因素的存在,很容易造成患者死亡或者伤残[1-2]。在医疗科室中心血管内科属于主要科室之一,同时其风险性也相对较高[3-4]。通常,该科室的患者都具有病情危重、变化快等特点,若护理风险评估、追踪、防范措施等落实不到位,易出现心肌梗死与心力衰竭等并发症。因此,护理风险管理的加强尤为重要。为进一步探究在心血管内科中护理风险管理实施的应用效果,现报道如下。

    1资料与方法

    1.1一般资料

    选取2015年8月~2016年10月到我院就诊的患有心血管病症80例患者为本次研究资料,经医院医学伦理委员会批准,所有患者均已自愿签署知情同意书,排除伴有严重精神病症、认知能力低下和言语障碍患者。按数字单双号随机为观察组与对照组,各40例。对照组患者中,男24例,女16例;年龄40~79岁,平均(61.2±2.4)岁;病程时间7~19 d,平均(12.3±1.5)d。观察组40例,男25例,女15例;年龄41~80岁,平均(62.5±2.6)岁;病程时间8~20 d,平均(13.6±1.7)d。两组患者一般资料比较,差异有统计学意义(P>0.05),具有可比性。, http://www.100md.com(肖碧青 肖凤连 刘绍华 朱虹)
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