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细节护理在手术室提升护理安全与质量的效果分析(1)
http://www.100md.com 2020年7月15日 《中外医疗》 202020
     [摘要] 目的 探究手术室细节护理在确保手术室护理安全与质量中的应用效果。方法 方便选取2018年4月—2019年2月期间在该院进行手术治疗的104例患者进行回顾性分析,所有患者均来自不同科室并分为常规组和观察组,常规组实施常规护理,观察组在常规护理基础上加入细节护理,对比患者对两种护理方法的满意度、手术风险时间发生率以及安全护理质控评分。结果 观察组基础护理工作、服务态度、护理知识告知、病房管理、工作能力、关爱患者等满意度均高于常规组(P<0.05);在风险事件发生率对比中,观察组为7.69%,常规组为23.08%,数据差异有统计学意义(χ2=4.727,P=0.029<0.05);护理后的安全护理质控评分中,观察组消毒隔离、器械配合、巡回配合、设备仪器、护理人员配合度等评分均高于常规组,数据差异有统计学意义(P<0.05)。结论 手术室安全护理中采用手术室细节护理有效减少了风险事件发生率,患者护理满意度评价较高,安全质控效果较高。

    [关键词] 手术室;细节护理;护理满意度;风险事件

    [中图分类号] R472 [文獻标识码] A [文章编号] 1674-0742(2020)07(b)-0157-03

    [Abstract] Objective To explore the effect of operating room detail nursing in ensuring the safety and quality of operating room nursing. Methods A retrospective analysis was performed on 104 patients undergoing surgical treatment in thehospital from April 2018 to February 2019,who were convenienty selected. All patients were from different departments. They were divided into a conventional group and an observation group according to sampling. The conventional group adopted routine nursing, the observation group added detailed nursing on the basis of routine nursing, and compared the patients' satisfaction with the two nursing methods, the incidence of surgical risk time, and the safety control quality control score. Results The observation group's basic nursing work, service attitude, nursing knowledge notification, ward management, work ability, and patient care were all higher than the conventional group (P<0.05); in the comparison of the incidence of risk events, the observation group was 7.69%, The normal group was 23.08%, the data difference was statistically significant (χ2=4.727, P=0.029 <0.05); in the safety care quality control score after nursing, the observation group disinfection isolation, equipment coordination, tour cooperation, equipment, nursing staff scores such as cooperation degree were higher than those in the conventional group, and the data difference was statistically significant (P<0.05). Conclusion The use of operating room detail nursing in the operating room safety nursing has effectively reduced the incidence of risk events. The patient's nursing satisfaction evaluation is high, and the safety quality control effect is high.

    [Key words] Operating room; Detailed nursing; Nursing satisfaction; Risk events

    手术室是医院高风险、高强度的科室,手术室护士是否重视护理工作细节,直接关系医疗质量能否提高,风险事件能否有效降低[1]。因此,手术室应用细节护理可从护理工作的每个细节着手,针对手术室日常工作中常见的风险因素和安全隐患实施自我检查、自我管理,不断总结、调查分析,并根据分析的因素制定有效的措施,消除手术室存在的安全隐患,主动规避和管理风险事件,减少护理风险事件发生并避免护患纠纷,进行针对性的规划和管理,来提升手术室护理安全与质量[2-3]。为此,该次研究方便选取2018年4月—2019年2月在该院手术的104例患者分组实施常规护理和细节护理并进行探究,观察细节护理在确保手术室护理安全中的作用,并获得了较理想的成果,现报道如下。, 百拇医药(郑银宝 林怡)
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