摘要
目的分析血液透析护理缺陷发生的相关因素。方法选择2015年10月至2016年9月本院收治的92例血液透析护理缺陷病例进行回顾性调查分析,对所有患者血液透析护理缺陷病例的缺陷种类、缺陷程度和缺陷原因进行分析,对比护理缺陷发生频率高低。结果92例血液透析护理缺陷患者中,透析血肿是护理缺陷发生率最高的一类型,占所有护理缺陷发生率的33.7%,透析失血和跌倒的缺陷发生率均为22.8%,是第二高发类型(P<0.05);缺陷护理1级、2级、3级分别占整个血液透析护理缺陷的26.1%、28.3%、23.9%,均为易发缺陷等级(P<0.05),护理人员观察不到位造成的护理缺陷发生率达30.4%,其次是制度未落实,发生率为27.2%(P<0.05)。结论血液透析护理缺陷的发生是由各种原因造成,院方和护理人员自身问题是发生护理缺陷的主要原因,院方要针对护理缺陷进行有针对性地完善相关制度,提出解决措施,避免护理缺陷的发生。
Objective To analyze the related factors of nursing defects in hemodialysis. Methods 9 2 patients with nursing defects of hemodialysis treated at our hospital from October, 2015 to September, 2016 were selected, and were retrospectively analyzed. The defect types, degree, and causes were analyzed. The defect frequencies were compared. Results Among the 92 patients, the incidence dialysis hematoma was the highest, accounting for 33.7%, and the incidence of dialysis blood loss and fall came next, accounting for 22.8%(P<0.05). Defective care level 1, 2, and 3 accounted for 26.1%, 28.3%, and 23.9% of the total hemodialysis care defects, respectively;all of which were susceptible defects (P < 0.05). The incidence of nursing defects caused by the situation was 30.4%, followed by that the system was not implemented, with an incidence of 27.2%(P < 0.05). Conclusion Hemodialysis care defects occur due to various reasons. The hospital and nursing staff's own problems are the main causes of nursing defects. The hospital should improve the relevant systems for the nursing defects and propose solutions to avoid the occurrence of nursing defects.
作者
张敬芳
Zhang Jingfang(Blood Purification Center,Henan Second Charity Hospital,Jiaozuo 454000,China)
出处
《国际医药卫生导报》
2019年第13期2173-2175,共3页
International Medicine and Health Guidance News
关键词
血液透析
护理缺陷
相关因素
分析
Hemodialysis
Nursing defects
Related factors
Analysis
