Application and effect of nursing risk management in nursing of critical patients in respiratory department
护理风险管理在呼吸科危重症患者护理中的应用与效果

摘要

目的 研究呼吸科危重症患者运用护理风险管理的临床使用效果。方法 抽取86例呼吸科危重症患者作为研究对象，采用分组式结果分析，将该86例患者按照1:1比例分为观察组（n=43例）与对照组（n=43例），其患者抽取时间段介于2019年2月到2019年12月期间。对照组呼吸科危重症患者采用常规护理方式，观察组呼吸科危重症患者在常规护理的基础上进行护理风险管理，研究期间需要护理人员做好记录工作，对比两组患者护理满意度、护患纠纷、意外事件以及非计划拔管发生率。结果 观察组呼吸科危重症患者采用护理风险管理后护患纠纷发生率为2.32%，对照组呼吸科危重症患者运用常规护理护患纠纷发生率为16.28%，观察组护患纠纷发生率高于对照组，组间差异显著（P＜0.05）。此外，观察组患者护理满意度为95.35%，相较于对照组护理满意度81.39%高，数据对比存在差异，具有实际统计意义（P＜0.05）。结论 呼吸科危重症患者采用护理风险管理可以提升护理满意度，减少护患纠纷事件的发生，降低意外事件与非计划拔管事件的发生，值得临床推广使用。

Abstract

Objective: To study the clinical effect of nursing risk management in critically ill patients in respiratory department.
Methods: 86 critically ill patients in the respiratory department were selected as the research object, and grouped results analysis was used to divide the 86 patients into an observation group (n = 43 cases) and a control group (n = 43 cases) according to a 1: 1 ratio. The patient sampling period is between February 2019 and December 2019. The control group of critically ill patients in the respiratory department adopted routine care. The observation group of critically ill patients in the observation group carried out nursing risk management on the basis of routine nursing. During the study period, nurses were required to make records and compare the nursing satisfaction, nurse-patient disputes, accidents, and unplanned extubation rates between the two groups.
Results: The incidence of nurse-patient disputes in critical care patients in the observation group after nursing risk management was 2.32%, and the incidence of nurse-patient disputes in the critical care patients in the control group was 16.28%. In the control group, the difference between the groups was significant (P <0.05). In addition, the nursing satisfaction of patients in the observation group was 95.35%, which was higher than that of the control group, which was 81.39%. There was a difference in data comparison, which had practical statistical significance (P <0.05).
Conclusion  : The use of nursing risk management in critically ill patients in respiratory department can improve nursing satisfaction, reduce the occurrence of nurse-patient disputes, reduce the occurrence of accidents and unplanned extubation events, and are worthy of clinical promotion.