目的 探究风险管理对维持性血液透析(MHD)患者血透过程中护理缺陷风险的影响。方法 以2014年6月-2015年6月的 61例MHD患者为风险管理组,58例MHD患者为对照组，行常规护理。比较两组患者血透过程中不良事件发生率和舒适 度，观察两组护士操作技能评分和风险管理评分差异。结果 风险管理组患者不良事件发生率低于常规组，舒适状 况量表(GCQ)评分高于常规组(P﹤0.05)；风险管理组护士操作技能评分和风险管理评分均高于常规组。结论 风险管 理应用于血透室不仅可减少患者治疗过程中不良事件的发生，提高患者舒适程度，还能提高护士操作技能和风险意 识。

Objective To explore the effect of risk management on the risk of nursing defects during hemodialysis in maintenance hemodialysis (MHD) patients. Methods The risk management was carried out in our hemodialysis room 61 patients with MHD treated in our hospital from Jun. 2014 to Jun. 2015 were divided into risk management group, another 58 patients with MHD treated in our hospital were control group, and these 58 patients were only given routine nursing. The incidence of adverse events and comfort degree during hemodialysis were compared between the two groups, and the scores of nurses' operation skills and risk management in the two groups were observed. Results The incidence rate of adverse events in the risk management group was lower than that in the control group, the score of General Comfort Questionnaire (GCQ) in the risk management group was higher than that in the control group (P<0.05), and the scores of nurses' operation skills and risk management in the risk management group were also higher than those in the control group. Conclusion Risk management can not only reduce the incidence of adverse events, but also improve comfort degrees for patients in hemodialysis room, and enhance nurses' operation skills and risk awareness.