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目的探讨多功能评估工具在降低呼吸内科慢性疾病护理风险的作用,为提高护理质量提供依据。方法选取梅县区粤东医院呼吸内科确诊的呼吸系统慢性疾病患者220例,随机分为观察组(120例)与对照组(100例)。观察组实施多功能护理风险评估,对照组采用传统的风险评估方法,比较在两种风险评估管理下患者的呼吸困难、院内感染、输液反应、坠床、坠积性肺炎等风险发生率以及环境管理得分、药品风险管理得分、基础护理得分和疾病风险管理得分等。结果观察组评估呼吸困难、院内感染、坠积性肺炎的风险评估耗时均明显短于对照组,差异有统计学意义(P<0.05)。观察组护理风险发生率为4.17%低于对照组的12.00%,差异有统计学意义(P<0.05)。观察组的环境管理得分、药品风险管理得分、基础护理得分和疾病风险管理得分均明显高于对照组,差异有统计学意义(P<0.05)。结论采用多功能评估工具对呼吸内科慢性疾病住院患者进行风险管理,可有效降低各项护理风险,提高护理质量。
Objective To explore the role of multifunctional assessment tools in reducing the risk of nursing chronic diseases in respiratory medicine and to provide the basis for improving nursing quality. Methods Totally 220 patients with chronic respiratory diseases diagnosed in respiratory department of East Guangdong Hospital of Meixian District were randomly divided into observation group (120 cases) and control group (100 cases). The observation group conducted a multi-functional nursing risk assessment, while the control group adopted the traditional risk assessment method to compare the risk of respiratory distress, nosocomial infection, infusion reaction, falling bed, hypostatic pneumonia and other risks in the two risk assessment management and environment Management score, drug risk management score, basic nursing score and disease risk management score. Results The observation group was significantly shorter than the control group in estimating the risk of dyspnea, nosocomial infection and hypostatic pneumonia. The difference was statistically significant (P <0.05). The incidence of nursing risk in the observation group was 4.17% lower than that in the control group (12.00%), the difference was statistically significant (P <0.05). The environmental management score, drug risk management score, basic nursing score and disease risk management score in the observation group were significantly higher than those in the control group, with significant differences (P <0.05). Conclusions Multi-functional assessment tools are used to manage the risk of inpatients with chronic diseases of respiratory medicine, which can effectively reduce various nursing risks and improve the nursing quality.