童景萍

[摘要]目的 探讨细节管理在儿科护理管理中的应用效果。方法 选取2017年1月～2018年12月我院收治的140例住院患儿作为研究对象，采用随机数字表法分为对照组和观察组，每组各70例。对照组实施常规护理管理，观察组实施细节管理;对两组护理不良事件、护患纠纷、护理差错、并发症发生情况及护理总满意度进行比较。结果 观察组不良事件、护患纠纷、患儿并发症发生率及家属护理差错率均低于对照组，差异有统计学意义（P<0.05）。观察组护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 对儿科进行细节管理，护理管理效果凸显，护理不良事件、护理差错、患儿并发症发生率及护理纠纷等发生率均降低，患儿家属对护理的满意度提高，细节护理属于较理想的儿科护理管理方式，值得临床推广应用。

[关键词]细节管理;儿科;护理管理;应用

[中图分类号] R473.72          [文献标识码] A          [文章编号] 1674-4721（2020）3（c）-0250-03

Application effect of detail management in pediatric nursing management

TONG Jing-ping

Department of Pediatrics， the First People′s Hospital of Jingdezhen City， Jiangxi Province， Jingdezhen   333000， China

[Abstract] Objective To explore the application effect of detail management in pediatric nursing management. Methods From January 2017 to December 2018， 140 hospitalization children in our hospital were selected as the subjects. According to random number table method， they were divided into control group and observation group， 70 cases in each group. Routine nursing management was performed in the control group， the observation group implemented detail management. The two groups of nursing adverse events， nursing disputes， nursing errors， complications and total nursing satisfaction were compared. Results The incidence of adverse events， nurse-patient disputes， complications and nursing errors in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. The nursing total satisfaction of the family members in the observation group was higher than that in the control group， the difference was statistically significant （P<0.05）. Conclusion The detail management of nursing management in pediatrics makes the effect of nursing management prominent， nursing adverse events， nursing errors， the incidence of complications and nursing disputes significantly reduced. The satisfaction of family members to nursing has been improved， and detail nursing is an ideal way of pediatric nursing management， which is worth popularizing and applying in clinic.

[Key words] Detail management; Pediatrics; Nursing management; Application

兒科是医院较重要的科室，由于患儿有一定的特殊性，对患儿治疗和护理时，护理人员所面临的风险较高，稍有不慎便可出现较严重的危害或损失[1]。从细节入手对患儿实施护理，使儿科护理风险有效降低，提升儿科护理水平[2]。为研究细节管理在儿科护理管理的应用效果，本研究选取我院收治的140例患儿进行分析，现报道如下。

1资料与方法

1.1一般资料

选取2017年1月～2018年12月我院收治的140例住院患儿作为研究对象。纳入标准：①接受全程治疗;②无严重器质性疾病。排除标准：①严重精神障碍疾病患儿;②年龄<3个月患儿。采用随机数字表法分为对照组和观察组，每组各70例。对照组中，男41例，女29例;年龄3个月～12岁，平均（4.8±1.9）岁;包含手足口病20例，流行性感冒28例，病毒性肠炎22例。观察组中，男40例，女30例;年龄4个月～11岁，平均（5.1±2.0）岁;包含手足口病19例，流行性感冒27例，病毒性肠炎24例。所有患儿家属均知情同意，且经过医院医学伦理委员会审核通过。两组的一般资料比较，差异无统计学意义（P>0.05），具有可比性。

1.2方法

对照组采用常规护理管理方式，基本健康教育，病房护理和身体指标观察等。观察组按照细节护理管理进行护理，具体操作如下。

1.2.1引入细节护理理念  坚持以人为本的理念，重视患儿本身的护理，而不单是护理患儿疾病，要把服务理念从“以疾病护理为中心”转变为“以人护理为中心”。……