张丽丽长春市人民医院伽马刀治疗中心，吉林长春130051

护理不安全因素与管理对策分析

张丽丽
长春市人民医院伽马刀治疗中心，吉林长春130051

目的探析医院护理过程中的不安全因素，并针对性的提出管理对策，旨在提高医院护理服务的质量，降低医院纠纷的发生率。方法选取该院2012年1月—2013年10月收治的52例发生护理不安全事件的患者，作为对照组，同时抽取2013年12月—2015年12月52例患者，作为观察组，并采取改善后的护理方式进行护理，分析发生不良事件的例数，比较两组护理满意度、恢复情况及身体舒适度等。结果观察组发生护理不良事件者3例；观察组恢复良好率84.62%、护理满意率76.92%及身体舒适度80.77%与对照组19.23%、42.31%及23.08%比较差异有统计学意义（P＜0.05）。结论针对医院护理不安全因素提出改善措施，严格落实各项制度标准，强化护理人员责任心，能够显著减少不良事件发生率，促进患者康复，提高护理满意度。

临床护理；不安全因素；管理对策；效果分析

［Abstract］Objective To study the unsafety factors in the hospital nursing course and put forwardsmanagement countermeasures pointedly in order to improve the quality of hospital nursing services and reduce the incidence rate of hospital disputes.M ethods 52 cases of patientswith nursing unsafety events admitted and treated in our hospital from January 2012 to October 2013 were selected as the control group，at the same time，52 cases of patients from December 2013 to December 2015 were extracted as the observation group，and the nursing was conducted by the improved nursingmethod，and the case number of adverse events was analyzed，and the nursing satisfactory degree，recovery condition and physical com fort degree were compared between the two groups.Results There were 3 cases with nursing adverse events in the observation group，and the differences in the recovery good rate，nursing satisfactory rate and physical comfort degree between the observation group and the control group were obvious by comparison with statistical significance，（84.62%，76.92%，80.77%vs 19.23%，42.31%，23.08%），P＜0.05.Conclusion The analysis of hospital nursing unsafety factors，pointedly putting forwards the improvementmeasures，strictly implementing various system standards and enhancing the responsibility of nursing staff can obviously reduce the incidence rate of adverse reactions，promote the rehabilitation of patients and improve the nursing satisfactory degree.

［Key words］Clinical nursing；Unsafety factor；Management countermeasures；Effect analysis

随着护理学的不断发展，临床上护理分工也越来越专业化，护理人员的工作行为常常与自身的专业掌握情况及理论知识掌握程度密切相关。护理风险是指护理人员在为患者进行护理的过程中存在危险因素，而这些危险因素会间接或者直接对患者造成损伤，甚至死亡［1-2］。该文为了更加全面了解护理过程中存在的不安全因素，将2012年1月—2013年10月收治的52例发生护理不安全事件的患者，作为对照组，同时抽取2013年12月—2015年12月52例患者，作为观察组，作为研究对象，现报道如下。……