护理风险管理对神经外科护理缺陷与护理满意度的影响(1)
[摘要] 目的 探讨神经外科疾病护理中护理风险管理对脑出血手术患者的护理措施和临床疗效。方法 方便选取该院2014年3月—2015年12月神经外科脑出血手术患者100例，随机分为两组，实施护理风险管理的为观察组，实施常规护理的为对照组，每组50例。调查两组患者对护理的满意度、临床效果及护理缺陷，并进行比较。 结果 经不同方法护理后，观察组护理总满意率为100%，对照组护理总满意率只有80%，两者差异有统计学意义(P<0.05)。观察组患者无缺陷率为98%，而对照组无缺陷率只有76%，两组差异有统计学意义(P<0.05)。两组患者护理后，观察组患者无恶化情况出现，仅有1例病人无效；而对照组患者有2例出现恶化，且有10例病人无效，两组患者相比差异有统计学意义(P<0.05)。结论 在脑出血手术患者进行治疗时，实施护理风险管理，能减少并发症的发生，从而使患者能获得更好的生理能力。
[关键词] 脑出血；护理风险管理；护理体会；临床疗效
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2016)05(a)-0139-03
[Abstract] Objective To study the nursing experience and clinical curative effect of nursing risk management in the disease nursing of the department of neurosurgery for operative patients with cerebral hemorrhage. Methods 100 cases of operative patients with cerebral hemorrhage in the department of neurosurgery treated from March 2014 to December 2015 were selected and randomly divided into two groups with 50 cases in each， the observation group adopted nursing risk management， the control group adopted conventional nursing， and the satisfactory degree of patients to nursing， clinical effect and nursing defect of the two groups were surveyed and compared. Results After nursing， the difference in the total nursing satisfactory rate between the observation group and the control group was obvious， (100% vs 80%)， P<0.05， there was an obvious difference in the non-defect rate between the observation group and the control group， (98% vs 76%)， P<0.05， after nursing， in the observation group， deterioration occurred to 0 case and only 1 case was ineffective； in the control group， deterioration occurred to 2 cases and 10 cases were ineffective， and there were obvious differences between the two groups by comparison， P<0.05. Conclusion The implementation of nursing risk management at the time of treatment for operative patients with cerebral hemorrhage can reduce the occurrence of complications and improve the physiological potency of patients.
[Key words] Cerebral hemorrhage； Nursing risk management； Nursing experience； Clinical curative effect
神经外科中的脑出血的发病率逐年上升，其发病一般由脑血液循环受阻引起，具有高致残率、高死亡率等特点[1]。现今，随着医疗水平的进步，脑出血手术患者的治疗水平得到了极大的改善，但是，仍有部分患者，在治疗时及治疗后出现了不良的并发症和后遗症，对患者及其家庭都带来了严重的负担，因此，应予以高度的重视[2]。据有关研究表明[3]，在对脑出血手术患者进行治疗时，实施护理风险管理，能极大的提高患者的满意度，让患者更好的恢复生活自理能力，减少治疗时的并发症，让患者治疗后的生活质量得到大幅度的提高，具有显著的临床治疗效果。为了探讨神经外科疾病护理中护理风险管理对脑出血手术患者的临床价值，该研究方便选取该院2014年3月—2015年12月神经外科脑出血手术患者100例，随机分为两组，并对观察组和对照组的患者实施不同的护理方式，观察两组患者的护理体会及临床疗效，现报道如下。
1 资料与方法
1.1 一般资料 (孙云香)
[关键词] 脑出血；护理风险管理；护理体会；临床疗效
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2016)05(a)-0139-03
[Abstract] Objective To study the nursing experience and clinical curative effect of nursing risk management in the disease nursing of the department of neurosurgery for operative patients with cerebral hemorrhage. Methods 100 cases of operative patients with cerebral hemorrhage in the department of neurosurgery treated from March 2014 to December 2015 were selected and randomly divided into two groups with 50 cases in each， the observation group adopted nursing risk management， the control group adopted conventional nursing， and the satisfactory degree of patients to nursing， clinical effect and nursing defect of the two groups were surveyed and compared. Results After nursing， the difference in the total nursing satisfactory rate between the observation group and the control group was obvious， (100% vs 80%)， P<0.05， there was an obvious difference in the non-defect rate between the observation group and the control group， (98% vs 76%)， P<0.05， after nursing， in the observation group， deterioration occurred to 0 case and only 1 case was ineffective； in the control group， deterioration occurred to 2 cases and 10 cases were ineffective， and there were obvious differences between the two groups by comparison， P<0.05. Conclusion The implementation of nursing risk management at the time of treatment for operative patients with cerebral hemorrhage can reduce the occurrence of complications and improve the physiological potency of patients.
[Key words] Cerebral hemorrhage； Nursing risk management； Nursing experience； Clinical curative effect
神经外科中的脑出血的发病率逐年上升，其发病一般由脑血液循环受阻引起，具有高致残率、高死亡率等特点[1]。现今，随着医疗水平的进步，脑出血手术患者的治疗水平得到了极大的改善，但是，仍有部分患者，在治疗时及治疗后出现了不良的并发症和后遗症，对患者及其家庭都带来了严重的负担，因此，应予以高度的重视[2]。据有关研究表明[3]，在对脑出血手术患者进行治疗时，实施护理风险管理，能极大的提高患者的满意度，让患者更好的恢复生活自理能力，减少治疗时的并发症，让患者治疗后的生活质量得到大幅度的提高，具有显著的临床治疗效果。为了探讨神经外科疾病护理中护理风险管理对脑出血手术患者的临床价值，该研究方便选取该院2014年3月—2015年12月神经外科脑出血手术患者100例，随机分为两组，并对观察组和对照组的患者实施不同的护理方式，观察两组患者的护理体会及临床疗效，现报道如下。
1 资料与方法
1.1 一般资料 (孙云香)