兒科門診靜脈輸液治療中護(hù)理風(fēng)險(xiǎn)管理模式的實(shí)施及臨床效果

程明月

[摘要] 目的 探討兒科門診靜脈輸液治療中護(hù)理風(fēng)險(xiǎn)管理模式的實(shí)施和效果。方法 選取2015年12月—2016年12月該院兒科門診收治的輸液患兒128例為研究對(duì)象，并按照隨機(jī)原則將所有患兒分為對(duì)照組和觀察組，每組均為64例，其中對(duì)照組患兒采用常規(guī)護(hù)理，觀察組患兒在常規(guī)護(hù)理基礎(chǔ)上采用護(hù)理風(fēng)險(xiǎn)管理模式，對(duì)比兩組患兒臨床效果。結(jié)果 觀察組護(hù)理滿意度明顯優(yōu)于對(duì)照組，護(hù)理風(fēng)險(xiǎn)事件發(fā)生率優(yōu)于對(duì)照組（P<0.05）。結(jié)論 護(hù)理風(fēng)險(xiǎn)管理模式在兒科門診靜脈輸液治療中的應(yīng)用和實(shí)施，可以有效降低兒科門診護(hù)理風(fēng)險(xiǎn)事件發(fā)生率，提高臨床護(hù)理滿意度，值得推廣和應(yīng)用。

[關(guān)鍵詞] 兒科門診；靜脈輸液；護(hù)理風(fēng)險(xiǎn)管理模式；臨床效果

[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2018）05（b）-0051-02

Implementation and Clinical Effect of Nursing Risk Management Model in the Outpatient Intravenous Infusion Treatment in the Department of Pediatrics

CHENG Ming-yue

Department of Nursing， Inner Mongolia Maternal and Infant Healthcare Hospital， Hohhot， Inner Mongolia， 010010 China

[Abstract] Objective To study the implementation and clinical effect of nursing risk management model in the outpatient intravenous infusion treatment in the department of pediatrics. Methods 128 cases of infusion children admitted and treated in our hospital from December 2015 to December 2016 were selected and randomly divided into two groups with 64 cases in each， the control group used the routine nursing， while the observation group used the nursing risk management model combined with routine nursing， and the clinical effect was compared between the two groups. Results The nursing satisfactory degree in the observation group was obviously better than that in the control group， and the incidence rate of nursing risk events was better than that in the control group（P<0.05）. Conclusion Nursing risk management model in the outpatient intravenous infusion treatment in the department of pediatrics can effectively reduce the incidence rate of outpatient nursing risks and improve the clinical nursing satisfactory degree， and it is worth promotion and application.

[Key words] Outpatient in the department of pediatrics； Intravenous infusion； Nursing risk management model； Clinical effect

在兒科門診治療過程中，由于患兒的口服給藥依從性差，通常采用靜脈輸液治療方法，但由于兒童的適應(yīng)性較差，難以準(zhǔn)確表達(dá)自己的意愿，因此兒科門診的靜脈輸液治療中風(fēng)險(xiǎn)事件發(fā)生率較高；同時(shí)基于家長對(duì)孩子的愛護(hù)，導(dǎo)致兒科門診成為護(hù)理糾紛的多發(fā)地，對(duì)兒科門診靜脈輸液治療患兒采用護(hù)理風(fēng)險(xiǎn)事件管理具有重要的臨床價(jià)值[1]。2015年12月—2016年12月該組針對(duì)該院兒科門診收治的128例患兒為研究對(duì)象，對(duì)護(hù)理風(fēng)險(xiǎn)事件管理在兒科門診靜脈輸液治療中的實(shí)施效果進(jìn)行研究，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選取該院兒科門診收治的輸液患兒128例為該組研究對(duì)象，對(duì)所有患兒的臨床資料進(jìn)行回顧性分析。其中男性61例，女性67例；年齡6個(gè)月～10歲，平均年齡為（4.31±2.76）歲。按照隨機(jī)原則將所有患兒分為對(duì)照組和觀察組，每組患兒均為64例。兩組患者在一般資料比較中差異無統(tǒng)計(jì)學(xué)意義（P>0.05），具有比較意義。