张小燕

【摘 要】目的：通过对肾内科老年存在的安全隐患进行分析，给予患者针对性的护理干预，并探讨护理效果。方法：选取我院肾内科在2017年7月至2019年2月期间收治的130例老年患者，将其随机分为试验组和对照组，各为65例，对照组常规措施进行干预，试验组给予针对性护理干预，对两组老年患者不良事件发生情况、护理满意度及住院时间进行对比。结果：试验组不良事件发生率3.08%显著低于对照组，P<0.05;试验组护理满意度96.92%显著高于对照组，差异明显，P<0.05;试验组住院时间（17.8±2.5）d短于对照组，P<0.05。结论：老年肾内科护理中的安全隐患包括医务人员、患者自身及药物等多方面，给予针对性护理干预可明显改善，值得临床推广。

【关键词】肾内科;老年患者;安全隐患;护理干预

Abstract：Objective To analyze the safety hazards in the elderly patients in the Department of Nephrology， and to provide targeted nursing interventions and to explore the effects of nursing.Methods 130 elderly patients admitted to our Department of Nephrology from July 2017 to February 2019 were randomly divided into the experimental group and the control group， 65 in each group.The control group was given routine intervention and the experimental group was given.Targeted nursing interventions were compared between the two groups of elderly patients with adverse events， nursing satisfaction and hospital stay.Results The incidence of adverse events in the experimental group was significantly lower than that of the control group （P<0.05）.The satisfaction rate of the experimental group was 96.92%， which was significantly higher than that of the control group.The difference was significant （P<0.05）.The length of hospital stay in the experimental group （17.8±2.5） was short.In the control group， P < 0.05.Conclusion The safety hazards in elderly renal medicine nursing include medical personnel， patients themselves and drugs.The targeted nursing intervention can be significantly improved， which is worthy of clinical promotion.

Key words： Department of Nephrology; elderly patients; safety risks; nursing intervention

【中图分类号】R473.5【文献标识码】B【文章编号】1005-0019（2019）17-0-01

为进一步探析肾内科护理老年患者的安全隐患和护理干预效果，本文将我院肾内科在2017年7月至2019年2月期间收治的130例老年患者，作为研究对象，现报道如下。

1 资料与方法

1.1 一般资料 选取我院肾内科在2017年7月至2019年2月期间收治的130例老年患者，将其随机分为试验组和对照组，各为65例，对照组：男性40例，女性25例，年龄60-88岁，平均（74.6±6.3）岁，疾病类型：肾病综合征20例，肾功能衰竭20例、肾小球肾炎25例;试验组：男性41例，女性24例，年龄61-87岁，平均（74.5±6.2）岁，疾病类型：肾病综合征20例，肾功能衰竭21例、肾小球肾炎24例;两组基本资料经统计学处理差异不明显，P>0.05。

1.2 护理方法

1.2.1 对照组 常规措施进行干预，常规的措施主要是对患者进行常规的饮食指导、健康宣教、并发症预防、生活指导等。

1.2.2 试验组 给予针对性护理干预，（1）针对患者的心理状态给予心理护理，多数患者存在一定程度上的焦虑、孤僻、抑郁等症状，因此，护理人员应针对此情况给予患者针对性的心理疏导，加强和患者之间的交流，对所患疾病的相关知识进行讲解，鼓励患者，多参加社会活动，积极治疗，以乐观的心态面对疾病。（……