摘要
目的分析辽宁省7所三级甲等医院分娩室灾害脆弱点,评估护理管理灾害脆弱性状况,为分娩室护理应急管理提供支持。方法采用Kaiser模型分析法,结合分娩室的风险防控实际,设计分娩室灾害脆弱性评估表,于2020年3月18—27日通过纸质问卷对200名分娩室护理人员进行调查,并计算突发事件风险值及分析和评估矩阵分布。结果回收有效问卷190份。分娩室面临的前10名风险事件依次是流行病暴发,产妇紧急入分娩室无法充分防护,产妇防护意识差,护理人员被羊水血液等体液污染或感染,产妇对助产士的指令依从性差,供应医疗护理防护用品短缺,护理人员针刺伤及刀伤感染,患者高热,穿戴脱口罩及手套不规范,及依从性差导致的医患关系紧张。结论基于Kaiser模型的分娩室灾害脆弱性分析可为风险识别及预警和应急预案制订及完善提供重要依据,应结合分娩室的实际、特异性及风险的动态变化灵活运用。
Objective To analyze the delivery room disaster vulnerabilities of 7 tertiary hospitals in Liaoning Province,evaluate the nursing management disasters vulneratility,and provid support for emergency management of delivery room nursing.Methods The Kaiser model analysis was used to design a disaster vulnerability assessment form for the delivery room,combined with the actual risk prevention and control in the delivery room.The survey was conducted from March 18 to 27,2020 by paper questionnaire among 200 nursing staff in the delivery room,and the risk values for emergencies were calculated and the matrix distribution was analyzed and evaluated.Results Totally 190 valid questionnaires were collected.The top 10 risk events faced by the delivery room were epidemic outbreaks,failure to adequately protective equipment for emergency admission to the delivery room,maternal poor protection awareness,nursing staff were contaminated with amniotic fluid and body fluids,poor maternal compliance with midwife orders,shortage of supplies of medical care protective equipment,nursing staff suffered needlestick injuries,high fever in patients,masks and gloves were worn or removed incorrectly,and doctor-patient tension due to poor compliance.Conclusion Kaiser model-based hazard vulnerability analysis of delivery rooms can provide an important basis for risk identification and early warning and emergency plan improvement and formulation,which should be applied flexibly with the actual and specific characteristics of delivery rooms and dynamic changes of risks.
作者
葛莉娜
叶慧慧
刘小楠
陈美文
Ge Lina;Ye Huihui;Liu Xiaonan;Chen Meiwen(Department of Obstetrics and Gynecology,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处
《中国实用护理杂志》
2022年第18期1368-1374,共7页
Chinese Journal of Practical Nursing
基金
辽宁省教育厅2021年度科学研究项目(LJKR0279)。
