[摘要] 目的 探讨加细护理管理对妇产科风险和护患纠纷情况的影响。方法 选择2015年4月—2016年5月该院妇科收治的100名产妇，依据摸球法平均分为两组，每组50名。实验组采取细节护理管理方式，参照组采取常规护理方式，比较两组护理方式的临床效果。结果 实验组产妇风险事件发生2例（4.00%），参照组产妇中风险事件发生14例（28.00%），实验组风险发生率比参照组低（P<0.05）;实验组护理满意度为（90.00%），参照组护理满意度为（74.00%），实验组护理满意度高于参照组，组间差异有统计学意义（P<0.05）。结论 在妇产科护士中加强细节护理管理，可有效提高护理服务满意度，减少护患纠纷，降低临床护理风险，护理效果显著，值得推广。

[关键词] 细节护理管理;风险事件;护患纠纷;妇产科

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0090-03

Strengthen the Effect of Detailed Nursing Management on Risk Events and Nurse-patient Disputes in Obstetrics and Gynecology

WANG Hong-yan

Department of Obstetrics and Gynecology， Tengnan Hospital of Zaozhuang Mining Group， Jining， Shandong Province， 277606 China

[Abstract] Objective To explore the impact of intensive nursing management on the risk of obstetrics and gynecology and the situation of nursing disputes. Methods A total of 100 maternal patients admitted to the gynecology department of our hospital from April 2015 to May 2016 were selected and divided into two groups according to the touch method， with 50 cases in each group. The experimental group adopted detailed nursing management methods， and the reference group adopted conventional nursing methods to compare the clinical effects of the two groups. Results 2（4.00%） maternal risk events occurred in the experimental group， and 14（28.00%） maternal risk events occurred in the reference group. The risk rate of the experimental group was lower than that of the reference group（P<0.05）; the nursing satisfaction of the experimental group was （90.00%）， the nursing satisfaction of the reference group was （74.00%）， and the nursing satisfaction of the experimental group was higher than that of the reference group， the difference was statistically significant between the groups（P<0.05）. Conclusion Strengthening detailed nursing management in obstetrics and gynecology nurses can effectively improve the satisfaction of nursing services， reduce nursing disputes， reduce the risk of clinical nursing， and have significant nursing effects， which is worth promoting.

[Key words] Detailed nursing management; Risk events; Nurse-patient disputes; Obstetrics and gynecology

近年来，医疗事故发生概率较高，护患矛盾日益加深，護理纠纷发生频繁，使妇产科面临巨大压力，也给医院带来了负面影响。因此，医院必须要加强内部管理，全面优化护理服务，注重护理服务质量，提高护理水平，降低护患纠纷发生概率[1]。针对产妇具体情况，采取个性化的护理措施，有效提升临床护理作用，让护理更加人性化，提升护理满意度，全面优化护理服务，逐步提升医院的信誉和形象。特此选取2015年4月—2016年5月经该院治疗产妇100名进行研究，现报道如下。

1  资料与方法

1.1  一般资料

选择经该院治疗的产妇100名，平均分为两组，每组各50名。其中实验组产妇年龄在19～38岁之间，平均年龄为（23.66±2.34）岁;初产妇29名，经产妇21名。参照组产妇年龄在18～36岁之间，平均年龄为（27.04±2.23）岁;初产妇26名，经产妇24名。根据产妇一般资料表明，组间差异无统计学意义（P>0.05），具有可比性。

排除标准：①患有严重认知障碍和精神障碍产妇;②产妇行动不便，缺乏自主行为能力;③产妇患过白血病、肿瘤等重大疾病;④产妇拒绝应用细节护理，不配合护理治疗;⑤产妇近期接受过抑郁症治疗。