風險管理在胸外科護理管理中的應用

汪洋洋 羅紫嘉

[摘要] 目的 探討風險管理在胸外科護理管理中的應用價值。方法 該組研究納入該院收治的30例胸外科患者，病例資料選取時間從2015年4月—2019年4月，將所有患者按照隨機數字表法分成兩組。對照組15例患者實施常規化護理，而研究組15例患者實施風險管理，記錄護理工作中的護理差錯、護理并發癥和護理投訴事件，比較兩組患者的護理風險事件發生率，并評估兩組患者的護理滿意度。結果 研究組患者中發生護理差錯、護理并發癥和護理投訴事件等護理風險事件的發生率為6.66%，明顯低于對照組的發生率40.00%;兩組間數據對比差異有統計學意義（P<0.05）。研究組患者的護理滿意度為93.33%，明顯高于對照組的滿意度60.00%，兩組間數據對比差異有統計學意義（P<0.05）。管理后兩組患者的護理病歷書寫評分和護理綜合評分均有所提高，且研究組患者的護理病歷書寫評分和護理綜合評分均高于對照組，差異有統計學意義（P<0.05）。結論 在胸外科護理管理中積極開展風險管理有利于降低護理風險事件發生率，提高文書書寫質量和整體體護理水平，并且提高患者對護理工作的滿意度。

[關鍵詞] 風險管理;護理管理;護理風險事件發生率;護理滿意度;胸外科

[Abstract] Objective To explore the application value of risk management in nursing management of thoracic surgery. Methods Thirty patients with thoracic surgery admitted to the hospital were included in this study. The case data were selected from April 2015 to April 2019. All patients were divided into two groups according to the random number table method. 15 patients in the control group were given routine care， while 15 patients in the study group were given risk management. Nursing errors， nursing complications， and nursing complaints were recorded during the nursing work. The incidence of nursing risk events was compared between the two groups， and two patients' satisfaction with care were evaluated. Results The incidence of nursing risk events such as nursing errors， nursing complications， and nursing complaint events among patients in the study group was 6.66%， which was significantly lower than the incidence of 40.00% in the control group. There was a statistically significant difference in data comparison between the two groups（P<0.05）. The nursing satisfaction of patients in the study group was 93.33%， which was significantly higher than that of the control group， 60.00%. There was a statistically significant difference in data comparison between the two groups（P<0.05）. After the management， the nursing record writing score and comprehensive nursing score of the two groups of patients were improved， and the nursing record writing score and comprehensive nursing score of the study group were higher than those of the control group，and the difference was statistically significant（P<0.05）. Conclusion Active risk management in nursing management of thoracic surgery is conducive to reducing the incidence of nursing risk events， improving the quality of written documents and overall nursing level， and improving patient satisfaction with nursing work.

[Key words] Risk management; Nursing management; Incidence of nursing risk events; Nursing satisfaction; Thoracic surgery

在胸外科治療的患者多為胸部外傷、肺部疾病患者以及心臟損傷患者，此類患者多病情危重，病情進展迅速，且年齡偏大，因此在手術后極易發生各種并發癥，護理風險事件發生率較高[1]。護理風險管理是一項減少護理風險發生的重要措施，逐漸被醫院各科室廣泛應用[2]。該模式能夠通過查找護理中安全隱患，并實施針對性的護理措施，從而降低護理風險事件的發生概率，提高護理工作的安全性[3]。該文以該院于2015年4月—2019年4月收治的30例患者為研究對象，就風險管理在胸外科護理管理中的應用價值作進一步的探討，報道如下。

1? 資料與方法

1.1? 一般資料

將在該院胸外科治療的30例患者納入該組研究中，將所有患者按照隨機數字表法分成兩組?！?br>