安全管理在提升兒科門診護理質量中的應用分析

吳偉宏　陳曉理

[摘要] 目的 探討安全管理在提升兒科門診護理質量中的應用效果。方法 入選對象為2017年1月—2018年2月該院收治的102例患兒，根據護理管理方法不同，平均分為觀察組和對照組，每組51例。對照組采用常規護理方式，觀察組對護理工作進行安全管理。結果 觀察組患兒家長對兒科門診護理的態度、職業素養、健康知識宣教和護理操作規范度的評分分別為（8.29±0.58）分、（8.51±0.47）分、（8.71±0.60）分，明顯高于對照組的（7.12±0.37）分、（7.01±0.29）分、（6.74±0.50）分，組間對比差異有統計學意義（P<0.05）;觀察組36名患兒家長對護理非常滿意，13名基本滿意，僅有2名不滿意，總滿意度為96.08%;對照組28名患兒家長對護理非常滿意，13名基本滿意，有10名不滿意，總滿意率80.39%;觀察組總滿意度明顯高于對照組，組間差異有統計學意義（P<0.05）。結論 在兒科門診護理中開展安全管理，能夠有效的提高兒科門診護理質量，增加患兒及家長的護理滿意度。

[關鍵詞] 安全管理;兒科;門診;護理質量

[中圖分類號] R473.72 [文獻標識碼] A [文章編號] 1672-5654（2020）02（b）-0021-03

[Abstract] Objective To explore the effect of safety management in improving the quality of pediatric outpatient care. Methods A total of 102 children admitted to the hospital from January 2017 to February 2018 were selected. They were divided into observation group and control group， with 51 cases in each group according to the nursing management method. The control group used conventional nursing methods， and the observation group performed safety management on the nursing work. Results The scores of parents in the observation group on attitudes towards pediatric outpatient nursing， professional literacy， health knowledge education and nursing practices were （8.29±0.58）points， （8.51±0.47）points， （8.71±0.60）points， which were significantly higher than those in the control group （7.12±0.37）points， （7.01±0.29）points， （6.74±0.50）points， the difference between the two groups of data was statistically significant（P<0.05）; the parents of 36 children in the observation group were very satisfied with the care， 13 were basically satisfied， and only 2 were dissatisfied， the total satisfaction was 96.08%; the parents of 28 children in the control group were very satisfied with the care， 13 were basically satisfied， 10 were dissatisfied， and the total satisfaction rate was 80.39%; the total satisfaction of the observation group was significantly higher than that of the control group，and the difference was statistically significant（P<0.05）. Conclusion Carrying out safety management in pediatric outpatient care can effectively improve the quality of pediatric outpatient care and increase the nursing satisfaction of children and parents.

[Key words] Safety management; Pediatric; Clinic; Quality of care

由于兒科患兒年齡小，自控能力和溝通能力都比較差，缺乏安全意識，給兒科護理工作帶來了一定的難度，也存在著很多的安全隱患。相比較而言，兒科門診的危險系數比較高[1]。患兒的情緒給家長帶來了消極的影響，家長出現急躁、不安的情緒，極易引發醫患沖突和矛盾[2]。為了保證兒科門診護理的安全性，同時緩解醫患矛盾和糾紛，有必要采取強有力的措施，加強兒科門診護理的安全管理[3]。該研究于2017年1月—2018年2月以該院收治的102例患兒為研究對象，探尋安全管理在提升兒科門診護理質量中應用效果，現報道如下。

1? 資料與方法

1.1? 一般資料

該院收治的102例患兒根據護理管理方法，平均分成觀察組和對照組，每組51例。對照組，男28例、女23例;年齡1～11歲，平均（5.4±1.6）歲。觀察組，男29例、女22例;年齡1～11歲，平均（4.8±1.8）歲。該研究經過該院倫理道德委員會批準，且保證102例患兒和家長自愿參加并享有知情權。……