李维娜

[摘要]目的 探讨管道风险评估系统在胸外科管道安全管理中的应用研究。方法 选择2018年1月～2019年1月我院收治的80例胸外科带管患者作为研究对象，依照随机数字表法分为对照组和研究组，每组各40例。对照组采用常规管道安全管理干预，研究组在此基础上联合应用管道风险评估系统。比较分析两组管道安全问题发生情况，护理人员工作效率，临床护理满意度。结果 研究组的管道安全问题发生率（7.50%）低于对照组（25.00%），差异有统计学意义（P<0.05）;研究组的护士交接班时间[（5.80±1.25）s]短于对照组[（9.95±1.35）s]，差异有统计学意义（P<0.05）;研究组的管道辨别时间[（1.85±0.50）s]短于对照组[（4.35±0.85）s]，差異有统计学意义（P<0.05）;研究组临床护理总满意度（82.50%）高于对照组（25.00%），差异有统计学意义（P<0.05）。结论 在胸外科管道安全管理中应用管道风险评估系统干预措施，可明显减少管道安全问题情况的发生，可明显提高护理人员工作效率及临床护理满意度。

[关键词]管道风险评估系统;胸外科管道;安全管理

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2019）9（c）-0232-03

[Abstract] Objective To investigate the application of pipeline risk assessment system in the safety management of thoracic surgery. Methods Eighty patients with thoracic surgical bandage who admitted to our hospital from January 2018 to January 2019 were selected as the subjects. They were divided into control group and study group according to the random number table method， 40 cases in each group. The control group used conventional pipeline safety management intervention， and the study group jointly applied the pipeline risk assessment system on this basic. The occurrence of pipeline safety problems， nursing staff work efficiency， and clinical nursing total satisfaction were compared between two groups. Results The incidence of pipeline safety problems in the study group （7.50%） was lower than that in the control group （25.00%）， and the difference was statistically significant （P<0.05）. The shift time of nurses in the study group （[5.80±1.25] s） was shorter than that in the control group （[9.95±1.35] s）， and the difference was statistically significant （P<0.05）. The pipeline identification time of the study group （[1.85±0.50] s） was shorter than that of the control group （[4.35±0.85] s）， and the difference was statistically significant （P<0.05）. The clinical total nursing satisfaction of the study group （82.50%） was higher than that of the control group （25.00%）， and the difference was statistically significant （P<0.05）. Conclusion The application of pipeline risk assessment in the safety management of thoracic surgery pipelines system interventions can significantly reduce the occurrence of pipeline safety problems， which can significantly improve the efficiency of nursing staff and clinical nursing satisfaction.

[Key words] Pipeline risk assessment system; Thoracic surgery pipeline; Safety management

胸外科为临床重要科室，收治患者多为病情危重，且病情变化快速。临床结合胸外科患者的疾病特点，在治疗中，需应用多种管道留置，且大多数为高危风险管道。但由于高危风险管道颜色十分相近，而且外形相近，具有错综复杂特点。采取何种干预措施可更有效保障患者各类型管道安全有效，已成为临床重要的护理工作内容[1-2]。积极加强提高风险识别，加强风险评估占据着重要作用，尤其是管道意外滑脱积极预防，非计划拔管积极预防等，更是临床护理工作的“重中之重”。通过科学准确评估管道危险因素，及时采取科学性预见性护理措施干预，有助于保障患者管道安全[3-4]。本研究选择80例胸外科带管患者作为研究对象，旨在探讨管道风险评估系统在胸外科管道安全管理中的应用，现报道如下。

1资料与方法

1.1一般资料