唐红英雁江区妇幼保健院，四川资阳　641300

在妇产科中加强细节护理管理对风险事件及护患纠纷的影响分析

唐红英
雁江区妇幼保健院，四川资阳641300

目的 观察在妇产科中加强细节护理管理对风险事件级护患纠纷的影响。方法 随机选择2015年1月—2015 年12月至该院妇产科住院治疗的患者200例，按照入院时间排序，序列号为单号患者作为观察组，序列号为双号患者作为对照组，各100例。对照组患者给予常规护理。观察组患者在对照组护理基础上给予细节护理。观察两组患者发生针头脱出、静脉滴注流速异常、用错药物、遗漏护理项目等不良反应发生情况并进行比较。观察两组患者对护理的满意度。结果 观察组总计发生不良反应10例，其发生率为10.00%，对照组38例，发生率为38.00%。观察组护理不良反应事件发生率明显低于对照组，差异有统计学意义（P＜0.05）。观察组患者对护理非常满意83例，占83.00%，总满意率为98.00%；对照组患者非常满意67例，占67.00%，总体满意率为89.00%。观察组患者的非常满意度和总体满意率均高于对照组，差异有统计学意义（P＜0.05）。结论 细节护理能够降低妇产科护理中的风险事件发生率，减少护患纠纷，提高患者对护理工作的满意度。

妇产科；细节护理；风险事件；护患纠纷

［Abstract］Objective To observe the effect of enhancing detail nursing management on risk events and nurse-patient disputes in the department of obstetrics and gynecology.Methods 200 cases of inpatients in the department of obstetrics and gynecology of our hospital from January 2015 to December 2015 were selected and randomly divided into two groups with 100 cases in each，the odd number patients were used as the observation group，the even number patients were used as the control group，the control group adopted conventional nursing，the observation group adopted detail nursing on the basis of the control group，and the occurrence of adverse reactions including needle terminals，abnormal intravenous drip flow velocity，drug misuse and missing nursing projects of the two groups were compared，and the satisfactory degree of the two groups to nursing was observed.Results 10 cases were with adverse reactions in total in the observation group and the incidence rate was 10.00%，38 cases were with adverse reactions in the control group and the incidence rate was 38.00%，the incidence rate of nursing adverse reaction events in the observation group was obviously lower than that in the control group with statistical differences，P＜0.05，83 cases were very satisfied with nursing in the observation group，accounting for 83.00%，and the total satisfactory rate was 98.00%，67 cases were very satisfied with the nursing，accounting for 67.00%，and the total satisfactory rate was 89.00%，and the most satisfactory degree and total satisfactory rate in the observation group were higher than those in the control group with statistical differences，P＜0.05.Conclusion The detail nursing can reduce the incidence rate of risk events in the department of obstetrics and gynecology，reduce the nurse-patient disputes and improve the satisfactory degree of patients to nursing work.

［Key words］Department of obstetrics and gynecology；Detail nursing；Risk event；Nurse-patient dispute

妇产科是护患纠纷发生比较多的科室，因为其患者比较特殊，大多是孕产妇，护理水平关系到母子的健康［1-2］。因此其对护理质量的要求较一般科室更高，尤其是随着社会的发展，患者的自我保护意识和维权意识更加强烈，临床上的护患纠纷时有发生［3-4］。……