裴浩然，张艳琴

内蒙古赤峰市巴林左旗医院，内蒙古巴林左旗025450

细节护理管理的加强在妇产科护理中对风险及护患纠纷的影响

裴浩然，张艳琴

内蒙古赤峰市巴林左旗医院，内蒙古巴林左旗025450

目的探究细节护理管理的加强在妇产科护理中对风险及护患纠纷的影响。方法选取2014年4月—2016年4月该院妇产科收治的96例患者作为研究对象，将其随机分为实验组和对照组，每组48人，实验组患者进行细节护理管理，对照组接受常规护理管理，观察对比两组患者的风险事件以及护患纠纷的发生情况，及两组患者对护理工作的满意度。结果对照组中护患纠纷的发生率为16.67%，实验组护患纠纷的发生率为4.17%；对照组患者对护理的满意率为66.67%，实验组患者对护理的满意率为93.75%，实验组满意率显著高于对照组（P＜0.05）。结论细节护理管理的加强可以降低妇产科护理中风险事件的发生率并减少护患纠纷的发生，同时显著提高了患者的满意度。

细节护理管理；妇产科；护患纠纷；风险

［Abstract］Objective To study the effect of enhancement of detailed nursing management on the risks and nurse-patient disputes in the nursing in the department of gynaecology and obstetrics.Methods 96 cases of patients admitted and treated in the department of gynaecology and obstetrics in our hospital from April 2014 to April 2016 were selected as the research objects and randomly divided into two groups with 48 cases in each，the experimental group adopted the detailed nursing management，while the control group adopted the routine nursing management，and the occurrence conditions of risk events and doctor-patient disputes of the two groups were observed and compared，and the satisfactory degree of the two groups to nursing work was surveyed.Results The incidence rate of nurse-patient disputes was 16.67%in the control group and 4.17%in the experimental group，and the satisfactory rate of the control group to nursing was 66.67%and of the experimental group to nursing was 93.75%，and the satisfactory rate in the experimental group was obviously higher than that in the control group（P＜0.05）.Conclusion The enhancement of detailed nursing management can reduce the incidence rate of risk events in nursing in the department of gynaecology and obstetrics and occurrence of nurse-patient disputes，obviously improve the satisfactory degree of patients at the same time，which is worth promotion and application in nursing in the department of gynaecology and obstetrics.

［Key words］Detailed nursing management；Department of gynaecology and obstetrics；Nurse-patient dispute；Risk

近几年在医疗行业发生了多起医疗事故，说明护理人员时刻面临着一些风险事件及各种原因引起的护患纠纷，排除其他的客观原因，护理人员应该完善自我的业务水平，建立“一切以病人为中心”的理念，以降低此类事件的发生［1］。我们的病患正在经受病痛折磨，他们的心理都非常的敏感和脆弱，需要护理人员给予更多的温暖、关心和帮助，而妇产科的护理工作又有一定的特殊性，与孕产妇及新生儿都息息相关，这就决定了该科室发生护理风险事件及护患纠纷的系数相对较高。……