邹飞 杨丽珠 杨国庆

[摘要] 目的 探讨护理风险管理在普外病区手术患者安全管理中的应用效果。 方法 选取南昌大学第三附属医院普外科病区2018年2月～2019年3月收治的120例手术患者作为研究对象，按照不同的护理措施分为对照组（60例）和观察组（60例）。对照组采用常规护理，观察组采用护理风险管理，比较两组护理不良事件发生率、患者投诉率、护理安全质量合格率、护理满意度。 结果 观察组不良事件发生率、患者投诉率低于对照组，差异有统计学意义（P<0.05）;观察组护理安全质量合格率、护理满意度高于对照组，差异有统计学意义（P<0.05）。 结论 护理风险管理用于普外病区手术患者安全管理中，既可减少不良事件发生率及患者投诉率，又能提高护理安全质量合格率及护理满意度，值得临床推广应用。

[关键词] 护理风险管理;普外病区;手术患者;不良事件发生率;护理安全质量合格率;护理满意度

[中图分类号] R472.3          [文献标识码] B          [文章编号] 1673-9701（2020）10-0175-03

[Abstract] Objective To explore the effect of nursing risk management in the safety management of general surgery ward patients. Methods 120 surgical patients admitted in the general surgery ward of the Third Affiliated Hospital of Nanchang University from February 2018 to March 2019 were selected as the research subjects. According to different nursing measures， they were divided into control group（n=60） and observation group（n=60）. The control group was given routine nursing， while the observation group was given nursing risk management. The incidence of adverse events， complaints rate， qualified rate of nursing safety and nursing satisfaction were compared between the two groups. Results The incidence of adverse events and patients' complaints in the observation group were lower than those in the control group， and the differences were statistically significant（P<0.05）. The qualified rate of nursing safety and nursing satisfaction in the observation group were higher than those in the control group， and the differences were statistically significant（P<0.05）. Conclusion Nursing risk management can not only reduce the incidence of adverse events and patients' complaints， but also improve the qualified rate of nursing safety quality and nursing satisfaction， which is worthy of clinical application.

[Key words] Nursing risk management; General surgery ward; Surgical patients; Incidence of adverse events; Qualified rate of nursing safety; Nursing satisfaction

普外科是医院综合性最高的一个科室，此科室收治的患者多为急症或病情较为复杂者，故此科室需要医护人员具有较强的专业性[1]。临床实践发现，此科室收治的患者多数需进行手术治疗，故相应的手术护理措施也较为繁重;同时且多数患者因病情不一，或病情复杂，致伤与致残率等不安全因素较多，故出现风险事件几率较大，护患关系较紧张，因此，在普外病区手术患者的护理中，开展有效的护理管理措施至关重要[2]。在普外病区手术患者护理过程中，因多种因素的共同作用及影响，易增加多种护理风险事件几率，从而对疾病的治疗产生一定的负面影响，且还会影响医院的品牌效应[3]。因此，在普外病区手术患者中，通过有效的护理风险管理，不仅对降低护理风险具有积极意义，还能提高护理安全质量，促使患者病情尽快康复[4]。……