Application of detail management in children's safety nursing
细节管理在小儿安全护理中的运用

摘要

目的 对小儿安全护理中细节管理的运用效果进行研究。方法 本次实验时间为2019年2月-2020年2月，实验对象为本院儿科患者，实验人数共计66例，通过抛硬币的方法将所选患儿分为甲组及乙组，两组患儿人数一致。护理人员在实验过程中通过基础护理管理对甲组患儿进行护理，通过细节管理对乙组患儿进行护理，统计和记录两组患儿生活质量评分、不良事件出现情况及患儿亲属满意情况。结果 在生活质量评分方面，乙组患儿远远高于甲组患儿，甲组患儿生活质量评分为（72.8±5.4）分，乙组患儿生活质量评分为（93.5±5.8）分，生活质量评分方面表现出较大差异，数据呈现统计学意义（p＜0.05）；在不良事件出现情况方面，乙组明显少于甲组，甲组不良事件出现几率为15.15%，乙组不良事件出现几率为3.03%，不良事件出现几率方面表现出较大差异，数据呈现统计学意义（p＜0.05）；在患儿亲属满意情况方面，乙组远远高于甲组，甲组患儿亲属护理满意度为69.70%，乙组患儿亲属护理满意度为93.94%，患儿亲属护理满意度方面表现出较大差异，数据呈现统计学意义（p＜0.05）。结论 在小儿安全护理中细节管理有着较好的效果，其能够在一定程度上提高患儿生活质量评分，减少不良事件的出现，促进患儿亲属护理满意度的提升，具有较高的临床应用价值。

Abstract

Objective: To study the effect of detail management in children's safety nursing.
Methods: This experiment was conducted from February 2019 to February 2020. The subject of the experiment was a pediatric patient in our hospital, with a total of 66 patients. The selected children were divided into group A and group B by tossing. The number of children in the group was the same. During the experiment, the nursing staff cared for the children in Group A through basic nursing management, and cared for the children in Group B through detailed management. Statistics and records of the quality of life scores of the two groups of children, the occurrence of adverse events and the satisfaction of the relatives of the children.
Results: In terms of quality of life scores, the children in group B were much higher than those in group A. The quality of life scores in group A were (72.8 ± 5.4) points, and the quality of life scores in group B were (93.5 ± 5.8) points. The quality of life score showed a large difference, the data showed statistical significance (p <0.05); in terms of the occurrence of adverse events, group B was significantly less than group A, the incidence of adverse events in group A was 15.15%, group B was bad. The probability of occurrence of the event was 3.03%, and there was a large difference in the probability of occurrence of adverse events. The data showed statistical significance (p <0.05); in terms of the satisfaction of the relatives of the children, group B was much higher than group A, and the relative nursing satisfaction of the children in group A was 69.70%, while the group B was 93.94%. The relative nursing satisfaction of the children showed significant differences, and the data showed statistical significance (p <0.05).
Conclusion  : Detail management has a good effect in child safety care. It can improve the quality of life scores of children to a certain extent, reduce the occurrence of adverse events, and promote the improvement of nursing satisfaction of relatives of children. It has a high clinical application value.