护理风险管理应用于急诊危重消化道出血患者院内转运中的价值分析
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摘要
目的分析护理风险管理在危重消化道出血患者急诊治疗中院内转运的价值。方法选取我院2016年12月～2017年12月急诊处理的危重消化道出血患者36例,随机分为实验组和对照组,每组18例。对照组采用传统急诊护理措施,实验组在对照组基础上加用护理风险管理护理措施。对比两组抢救物品完好率、导管操作无菌情况合格率、护理满意度和院内转运时间。结果实验组抢救物品完好率和导管操作无菌情况合格率分别为94.44%和100.00%,均高于对照组的83.33%和88.89%,差异有统计学意义(P<0.05)。实验组护理满意度为100.00%,高于对照组的94.44%,差异有统计学意义(P<0.05)。两组患者院内转运时间均十分迅速,实验组院内转运时间为(1.01±0.17)min,对照组为(1.18±0.21)min,组间比较,差异无统计学意义(P>0.05)。结论护理风险管理对急诊危重消化道出血院内转运价值较高,可提高抢救物品完好率和导管操作无菌情况合格率,提高护理满意度。
Objective To analyze the value of nursing risk management in the hospital for emergency treatment of patients with critical gastrointestinal bleeding. Methods 36 patients with critical gastrointestinal hemorrhage who were treated urgently from December 2016 to December 2017 in our hospital were randomly divided into experimental group and control group, with 18 cases in each group. The control group used traditional emergency nursing measures, and the experimental group added nursing risk management nursing measures based on the control group. Compare the two groups of rescue items in good condition, catheter operation aseptic condition pass rate, care satisfaction and in-hospital transit time. Results The pass rate of the rescued items in the experimental group and the aseptic condition of the catheter operation were 94.44% and 100.00%, respectively, which were higher than the control group's 83.33% and 88.89%,the difference was statistically significant( P <0.05). The nursing satisfaction of the experimental group was 100.00%, which was higher than that of the control group 94.44%,the difference was statistically significant( P<0.05). The intra-transitence time of the two groups was very rapid. The intra-transitory time of the experimental group was(1.01 ±0.17) min, and the control group was(1.18±0.21) min. There was no significant difference between the two groups(P>0.05). Conclusion Nursing risk management has a higher value for in-hospital transport of critically ill digestive tract hemorrhage, which can improve the insufficiency rate of rescue articles and the sterility of catheter operation and improve the satisfaction of nursing.
Objective To analyze the value of nursing risk management in the hospital for emergency treatment of patients with critical gastrointestinal bleeding. Methods 36 patients with critical gastrointestinal hemorrhage who were treated urgently from December 2016 to December 2017 in our hospital were randomly divided into experimental group and control group, with 18 cases in each group. The control group used traditional emergency nursing measures, and the experimental group added nursing risk management nursing measures based on the control group. Compare the two groups of rescue items in good condition, catheter operation aseptic condition pass rate, care satisfaction and in-hospital transit time. Results The pass rate of the rescued items in the experimental group and the aseptic condition of the catheter operation were 94.44% and 100.00%, respectively, which were higher than the control group's 83.33% and 88.89%,the difference was statistically significant( P <0.05). The nursing satisfaction of the experimental group was 100.00%, which was higher than that of the control group 94.44%,the difference was statistically significant( P<0.05). The intra-transitence time of the two groups was very rapid. The intra-transitory time of the experimental group was(1.01 ±0.17) min, and the control group was(1.18±0.21) min. There was no significant difference between the two groups(P>0.05). Conclusion Nursing risk management has a higher value for in-hospital transport of critically ill digestive tract hemorrhage, which can improve the insufficiency rate of rescue articles and the sterility of catheter operation and improve the satisfaction of nursing.
引文
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[2]刘士方,朱月兰,樊小鹏,等.改良早期预警评分系统在急诊危重患者院内转运中的应用[J].解放军护理杂志,2016,33(8):68-70.
[3]丁万红,夏海鸥,徐春芳,等.急诊危重症患者院内转运流程的建立和应用评价[J].护理学杂志,2016,31(21):51-55.
[4]张文娴,崔妙玲.在护理工作中影响患者安全的六大因素分析及对策[J].护士进修杂志,2015,23(7):560-562.
[5]赵文凤,孙春红,闫柏刚,等.医疗失效模式与效应分析在急诊危重患者院内转运中的应用效果[J].检验医学与临床,2016,13(13):1895-1897.
[6]Revenaugh PC,Knott PD,Alam DS,et al.Voice outcomesfollowing reconstruction of laryngopharyngectomy defects usingthe radial forearm free flap and the anterolateral thigh free flap[J].Laryngoscope,2014,124(2):397-400.
[7]江新华.护理风险管理在急诊危重患者院内转运中的应用[J].医学信息,2015,28(40):215.