谢小静

【摘要】 目的：探讨护理风险管理在重症医学科患者护理中的应用效果。方法：选取2019年1月-2020年1月重症医学科患者94例，采用随机数字法分为两组，对照组给予常规护理，研究组给予护理风险管理，对比两组护理前后APACHE Ⅱ评分、护理风险事件发生率、SDS评分、SAS评分及护理满意度。结果：两组护理前APACHE Ⅱ评分比较，差异无统计学意义（P>0.05）;研究组護理后APACHE Ⅱ评分明显低于对照组，差异有统计学意义（P<0.05）;对照组护理风险事件发生率为12.77%，显著高于研究组，差异有统计学意义（P<0.05）;研究组SAS评分、SDS评分均低于对照组，差异均有统计学意义（P<0.05）;对照组护理满意度为78.72%，显著低于研究组的95.74%，差异有统计学意义（P<0.05）。结论：在重症医学科患者护理中采用护理风险管理有利于降低护理风险事件发生率，提高护理满意度，改善患者焦虑、抑郁情绪，促进病情改善。

【关键词】 护理风险管理 重症医学科 护理风险

doi：10.14033/j.cnki.cfmr.2020.20.044 文献标识码 B 文章编号 1674-6805（2020）20-0-03

Effect of Nursing Risk Management in the Nursing of Patients in Intensive Care Unit/XIE Xiaojing. //Chinese and Foreign Medical Research， 2020， 18（20）： -112

[Abstract] Objective： To explore the effect of nursing risk management in the nursing of patients in intensive care unit. Method： A total of 94 patients in intensive care unit were selected from January 2019 to January 2020， and the patients were divided into two groups by random number method. The control group was given routine nursing， and the study group was given nursing risk management， and the APACHE Ⅱ scores， the incidence of nursing risk events， SDS scores， SAS scores and nursing satisfaction before and after nursing of the two groups were compared. Result： Before nursing， the APACHE Ⅱ scores were compared between the two groups， and the difference was not statistically significant （P>0.05）. After nursing， the APACHE Ⅱ scores of the study group was significantly lower than that of the control group， and the difference was statistically significant （P<0.05）. The incidence of nursing risk events in the control group was 12.77%， which was significantly higher than that of the study group， and the difference was statistically significant （P<0.05）. The SAS score and SDS score of the study group were significantly lower than those of the control group， and the differences were statistically significant （P<0.05）. The nursing satisfaction of the control group was 78.72%， which was significantly lower than 95.74% of the study group， and the difference was statistically significant （P<0.05）. Conclusion： The application of nursing risk management in the nursing of patients in intensive care unit is beneficial to reduce the incidence of nursing risk events， improve nursing satisfaction， improve anxiety and depression of patients， and promote the improvement of patients condition.

[Key words] Nursing risk management Intensive care unit Nursing risk

First-authors address： The Third Affiliated Hospital of Sun Yat-sen University， Yuedong Hospital， Meizhou 514700， China

重症医学科患者多为危急重症患者，在治疗及护理过程中可能会发生多种风险事件。护理风险管理是对护理服务中可能存在的多种风险进行预防与控制的有效措施，将其应用于重症患者的护理工作中，能够更好地发挥护理服务特色，减少护理风险事件。为探究护理风险管理在重症医学科患者护理中的应用效果，以笔者所在医院重症医学科患者94例为研究对象，详细报道如下。

1 资料与方法

1.1 一般资料

选取2019年1月-2020年1月笔者所在医院重症医学科患者94例。纳入标准：（1）为笔者所在医院重症医学科护理对象，接受临床护理服务;（2）无精神疾病、认知障碍等，具有自我表达能力，能够配合临床护理及调查工作。采用随机数字法分为两组，对照组47例，男27例，女20例;年龄（50.3±8.2）岁。研究组47例，男24例，女23例;年龄（49.6±8.0）岁。两组一般资料比较，差异均无统计学意义（P>0.05）。本次研究经医院伦理委员会批准，患者及家属对护理方案明确，且自愿签署知情同意书。