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目的:为进一步落实与实施血透室的护理告知与知情同意书制度,以降低护理投诉与纠纷的发生率。方法:选取浙江省嘉兴市第一医院血透室2013~2015年的132例患者,随机分为对照组66例与实验组66例,对照组以常规口头告知的方式对患者进行宣讲,实验组以护理告知与知情同意书的方式对患者进行宣传告知,主要采用图文告知、书面告知、口头告知、讲座及多媒体告知的方式。结果:环境设施与科室制度所导致的护理纠纷在两组中并无统计学差异,由不良反应、护理操作、安全防护措施及相关费用而诱发的护理纠纷明显呈下降趋势(P<0.05)。结论:医护人员履行告知义务,保障患者的知情同意权,给予患者应有的尊重,使患者能够享受到优质、有序、安全的医疗服务,可以有效减少护理纠纷的发生。
Objective: To further implement and implement the hemodialysis nursing notification and informed consent system to reduce the incidence of nursing complaints and disputes. Methods: 132 patients from 2013 to 2015 in the hemodialysis department of the First Hospital of Jiaxing, Zhejiang Province were randomly divided into control group (66 cases) and experimental group (66 cases), and the control group was preached by routine verbal notification. The experimental group To inform and inform the patients by means of nurse informed and informed consent, mainly using the means of graphic informing, written informing, verbal informing, lecturing and multimedia informing. Results: Nursing disputes caused by environmental facilities and departmental system were not statistically different between the two groups. Nursing disputes evoked by adverse reactions, nursing operations, safety precautions and related costs decreased significantly (P <0.05). CONCLUSION: The health care workers fulfill their duty of disclosure, protect the patients’ right of informed consent, give patients due respect, and enable patients to enjoy good, orderly and safe medical services, which can effectively reduce the occurrence of nursing disputes.