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安全管理在小儿外科病区护理中的应用效果(1)
http://www.100md.com 2018年11月25日 《中国当代医药》 2018年第33期
     [摘要]目的 探究安全管理在小儿外科病区护理中的应用效果。方法 选取2016年1月15日~2018年4月5日我院收治的108例外科手术患儿及进行护理的16名护理人员作为研究对象,按照随机数字表法将其分为对照组和观察组,每组各54例患儿与8名护理人员。对照组患儿给予常规管理,观察组患儿给予安全管理。观察评估两组患儿的危险事件总发生率、护理总满意度,并比较两组护理人员的护理质量评分。结果 观察组患儿的危险事件总发生率(1.85%)低于对照组(18.52%),差异有统计学意义(P<0.05)。观察组患儿的护理总满意度(98.15%)高于对照组(70.37%),差异有统计学意义(P<0.05)。观察组的护理质量评分高于对照组,差异有统计学意义(P<0.05)。结论 安全管理应用于小儿外科病区护理中具有较高的临床价值,能够在降低危险事件发生率的基础上提高护理满意度,值得应用及推广。

    [关键词]安全管理;小儿;外科;护理

    [中图分类号] R47 [文献标识码] A [文章编号] 1674-4721(2018)11(c)-0210-03

    [Abstract] Objective To explore the application effect of safety management in nursing of pediatric surgical wards. Methods A total of 108 surgical children who were admitted to our hospital from January 15, 2016 to April 5, 2018 and 16 nursing staff were selected as research subjects. According to the random number table method, they were divided into the observation group and the control group, with 54 children and 8 nursing staff in each group. In the control group, routine management was used, while in the observation group, safety management was implemented. The total incidence rate of risk events and total nursing satisfaction in pediatric patients between the two groups were observed and evaluated, and scores of nursing quality on nurses were compared between the two groups. Results The total incidence rate of risk events in the observation group was 1.85%, which was lower than that in the control group accounting for 18.52%, and the difference was statistically significant (P<0.05). The total nursing satisfaction of the observation group was 98.15%, which was higher than that of the control group accounting for 70.37%, and the difference was statistically significant (P<0.05). The score of nursing quality in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Safety management has high clinical value in the nursing of pediatric surgical wards. It can improve the nursing satisfaction on the basis of reducing the incidence of risk events, which is worthy of application and promotion.

    [Key words] Safety management; Children; Surgery; Nursing

    由于手術患儿家属对治疗期望较大及对病情变化较为敏感,实施常规干预不能满足人们需求及手术操作需求,易增加手术风险,继而对患儿生命安全造成严重威胁[1-2]。曾有学者研究表明,手术室主要危险隐患与主观因素、客观因素及管理因素具有密切相关联系,因此在临床上实施针对性防范管理措施尤为重要,能够在一定程度上强化护理人员安全责任意识,继而起到降低医疗纠纷发生率的目的,对提升护理质量具有积极作用。除此之外,其能够为构建良好护患关系奠定基础,有利于顺利开展治疗工作。本研究选取我院收治的108例外科手术患儿及进行护理的16名护理人员作为研究对象,旨在探究安全管理在小儿外科病区护理中的应用效果,现报道如下。

    1资料与方法

    1.1一般资料, 百拇医药(陈慧)
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