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目的研究总结外科护理实施过程中潜在的危险因素以及解决措施。方法调取普外科2009年1月~2012年1月和2012年2月~2015年2月护理工作实施过程中危险事件进行危险因素统计。于2012年1月起调查外科护理实施过程中危险因素并采取针对性措施,比较措施实施前后护理质量评分。结果实施护理危险事件对策后,危险事件发生率下降,护理服务不当比例显著低于实施措施前(P<0.05)。2009~2012年有77例发生,2012~2015年有21例发生。实施外科护理危险对策后护理质量总评分显著优于实施前,护理质量各项评分均显著优于实施前(P<0.05)。其中,2009~2012年急救护理质量、危重症患者护理质量、护理文件书写质量、常规护理质量、病房管理质量、护理总质量分别为(94.38±2.18)、(99.33±0.15)、(99.12±0.23)、(96.43±0.24)、(96.49±0.21)、(97.42±0.33)分;2012~2015年分别为(81.11±2.25)、(81.55±0.23)、(89.72±0.24)、(90.01±0.23)、(88.51±0.23)、(86.25±0.37)分。结论外科护理实施过程中危险因素主要是护理工作不当造成,实施相应措施和制度,能够有效降低危险事件发生情况。
Objective To study and summarize the potential risk factors and their solutions in the implementation of surgical nursing. Methods The general surgery department was taken from January 2009 to January 2012 and February 2012 to February 2015. Statistics of risk factors were carried out during the implementation of nursing work. In January 2012, we surveyed the risk factors in the implementation of surgical nursing and took targeted measures to compare the quality of care before and after the implementation of the measures. Results After the implementation of nursing risk events, the incidence of dangerous events decreased and the proportion of improper nursing services was significantly lower than that before implementation measures (P <0.05). From 2009 to 2012, 77 cases occurred, from 2012 to 2015, 21 cases occurred. The total score of nursing quality was significantly better than that before the implementation of the dangerous measures of surgical nursing. The score of nursing quality was significantly better than that before the implementation (P <0.05). Among them, the quality of emergency care, the quality of care of critically ill patients, the writing quality of nursing documents, the quality of routine care, the quality of ward management and the total quality of care from 2009 to 2012 were (94.38 ± 2.18), (99.33 ± 0.15) and (99.12 ± 0.23 ), (96.43 ± 0.24), (96.49 ± 0.21) and (97.42 ± 0.33) points, respectively; from 2012 to 2015, they were (81.11 ± 2.25), (81.55 ± 0.23), (89.72 ± 0.24) and (90.01 ± 0.23) , (88.51 ± 0.23), (86.25 ± 0.37) points respectively. Conclusion The main risk factors in the implementation of surgical nursing are the improper nursing work. The implementation of appropriate measures and systems can effectively reduce the occurrence of dangerous events.