摘要
目的探讨呼吸科危重症患者应用护理风险管理模式的效果,并进行护理后的效果比较。方法选取2014年2月~2016年11月来我院呼吸内科治疗的78例患者,随机分为对照组(n=39)和观察组(n=39)。对照组行常规护理,观察组行护理风险管理,观察并记录患者的临床症状、患者满意度及护理效果。结果观察组患者的呼吸频率、心率及pH值与对照组相比更加稳定,患者的呼吸状态相对更好,差异有统计学意义(P<0.05);观察组患者非计划性拔管、护患间纠纷及意外事件发生率比对照组更低,差异有统计学意义(P<0.05);观察组患者及家属满意度为97.4%,远超对照组患者及家属满意度(84.6%),差异有统计学意义(P<0.05);观察组患者总有效率(94.8%)远高于对照组患者(79.5%),差异有统计学意义(P<0.05)。结论呼吸内科危重症患者应用护理风险管理模式进行护理效果优异,能够有效减少护理风险、提高护理的安全性,值得在临床护理中推广使用。
Objective To discuss the effect of nursing risk management in critically ill patients with respiratory disease and to compare the effect of nursing care.Methods 78 patients who received respiratory medicine from our hospital in February 2014 to November 2016 were randomly divided into control group（n=39） and observation group（n=39）.Patients in the control group were given routine nursing,while those in the observation group were given nursing risk management. The clinical symptoms,patients＇satisfaction and nursing effects were observed and recorded.Results The respiratory rate, heart rate and pH value of patients in the observation group were more stable than those in the control group,and the patient＇s breathing state was relatively better,with statistically significant differences（P〈0.05）.The incidence rates of un-planned extubation,nurse-patient disputes,and accidents were significantly lower in the observationgroup after nursing risk management than those in the control group（P〈0.05）.The satisfaction rate of patients and their families was 97.4% in the observation group after nursing risk management,significantly higher than thatin the control group （84.6%,P〈0.05）. The overall response rate in the observation group（94.8%）was significantly higher than that in the control group（79.5%, P〈0.05）.Conclusion Application of nursing risk management in critically ill patients with respiratory disease is excellent in nursing effect,which can effectively reduce the nursing risk and improve the safety of nursing,thus is worthy to be promoted in clinical practice.
作者
王小英
WANG Xiao-ying(Department of Respiratory Medicine,the Affiliated Hospital of Jiujiang College,Jiangxi Province,Jiujiang 332000,Chin)
出处
《中国当代医药》
2017年第21期122-124,共3页
China Modern Medicine
关键词
护理风险管理
呼吸频率
危重症患者
护理效果
Nursing risk management
Respiratory rate
Critically ill patients
Nursing effect
