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·腹部疾病·

风险管理模式在儿科重症监护病房中的应用价值

作者:牛菲菲

所属单位:河南省新乡市中心医院儿科 (河南 新乡 453000)

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摘要

目的 探讨开展风险管理模式在儿科重症监护病房(PICU)中的价值。方法 将2015年1月至10月于我院PICU病房住院 的86例患儿抽签随机均分为两组,对照组实施常规护理,观察组在进行常规护理的基础上开展相应的风险管理措 施。比较两组实施风险管理措施前后患儿护理质量和家属满意度,以及两组患儿护理并发症的发生率。结果 两组 患儿实施风险管理前护理质量评分、家长满意度比较无统计学意义(P>0.05),实施风险管理后观察组护理质量评 分、家长满意度分别为(96.34±5.32)分、(96.62±3.41)%,较实施前及对照组实施后均较高(P<0.05)。观察组并 发症发生率为11.63%显著低于对照组32.56%(P<0.05)。结论 开展风险管理措施,可改善患儿预后,降低护理并发 症的发生,获得患儿家属对护理人员的满意评价,预防护理不良事件的发生。

Objective To analyze the application value of risk management model in pediatric intensive care unit (PICU). Methods From Jan. 2015 to Oct. 2015, a total of 86 children who accepted treatment in PICU were taken as the clinical research objects, and they were randomly divided into observation group and control group. Both groups accepted conventional nursing. Besides, the observation group accepted additional risk management in order to compare their nursing quality score, satisfaction degree of their relatives and complication rate. Results Before risk management, there were no significant differences in nursing quality scores and parents' satisfaction degrees (P<0.05). After risk management, the nursing quality score and parents' satisfaction degree were respectively (96.34±5.32) and (96.62±3.41)%, which were significantly higher than those in the control group and before risk management. The complication rate in the observation group was 11.63% which was significantly lower than that in the control group 32.56% (P<0.05). Conclusion In order to improve the prognosis of children, reduce the occurrence of nursing complications, obtain the satisfaction of the family members of children and prevent the occurrence of adverse events, risk management can be carried out.

【关键词】风险管理;儿科;重症监护病房

【中图分类号】R473.72

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.05.020

前言

护理风险是指护理人员在从事护理工作中可能 由于缺乏安全防范意识、缺乏沟通技巧等因素导 致患者及护理人员本身发生护理目的之外的不良 事件[1]。风险管理是指医院通过对现有的、潜在的风 险进行识别、评估,然后采取有效的措施控制风险事 件的发生、减少风险事件对患者以及医务人员的不良 影响[2]。我院对86例PICU病房的患儿作为研究对象, 记录并分析了风险管理措施后不良事件发生率以及患 儿家属满意度,现将结果报告如下。