杨冰　张春华

[摘要] 目的 探究护理风险管理应用于胃肠外科护理管理中应用价值。方法 择取该院2018年3月—2019年6月期间胃肠外科中收治的92例患者作为研究对象，将其进行标号后进行随机分组。管理组46例患者接受护理风险管理，一般组46例患者接受普通护理模式，比较两组患者护理效果。结果 ①管理组护理不良事件发生率低于一般组，两组间差异有统计学意义（P<0.05）;②管理组护理质量评分高于一般组，组间差异有统计学意义（P<0.05）。③管理组护理纠纷事件发生率低于一般组，满意度评分高于一般组，两组间差异有统计学意义（P<0.05）。结论 护理风险管理引入胃肠外科护理管理中，可有效提升护理质量，减低医患纠纷发生率，改善医疗质量。

[关键词] 护理风险管理;胃肠外科护理管理;医患纠纷

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）07（b）-0015-03

Discussion on the Effect of Nursing Risk Management in the Nursing Management of Gastrointestinal Surgery

YANG Bing1， ZHANG Chun-hua2

1.Rizhao Traditional Chinese Medicine Hospital， Rizhao， Shandong Province， 276800 China; 2.Rizhao People's Hospital， Rizhao， Shandong Province， 276800 China

[Abstract] Objective To explore the application value of nursing risk management in the nursing management of gastrointestinal surgery. Methods A total of 92 patients who were admitted to gastrointestinal surgery in our hospital from March 2018 to June 2019 were selected as the research objects， and they were labeled and randomly grouped. 46 patients in the management group received nursing risk management， and 46 patients in the general group received general nursing mode. The nursing effects of the two groups were compared. Results 1.The incidence of adverse nursing events in the management group was lower than that of the general group， and the difference between the two groups was statistically significant （P<0.05）; 2.The nursing quality score of the management group was higher than that of the general group， and the difference between the groups was statistically significant （P<0.05）. 3.The incidence of nursing disputes in the management group was lower than that of the general group， and the satisfaction score was higher than that of the general group. The difference between the two groups was statistically significant （P<0.05）. Conclusion The introduction of nursing risk management into the nursing management of gastrointestinal surgery can effectively improve the quality of nursing， reduce the incidence of doctor-patient disputes， and improve the quality of medical care.

[Key words] Nursing risk management; Gastrointestinal surgery nursing management; Doctor-patient disputes

伴随着大众法律意识的增强以及公众健康知识的完善，采取传统的护理管理已经无法满足人们日益增长的优质医疗需求，因此可采取风险管理模式用提升医疗质量，降低护理不良事件的发生率[1]。采取风险管理制度能够针对护理管理工作中的不安全因素进行排查干预，减少护理工作缺陷，保障患者享受到优质的医疗服务。应用风险管理可对存在潜在护理风险进行识别，采取事前控制将护理风险扼杀在萌芽状态，从而有效保障患者住院治疗期间的生命安全，有利于建立和谐医患关系，同时也有利于医院建立正面的社会形象。胃肠外科疾病类型由于偏多，在运用手术方法治疗过程中，患者极易出现护理风险，最终影响到患者的生命安全。该文择取2018年3月—2019年6月期间于该院收治的92例胃肠外科患者作为研究对象，旨在研究护理风险管理引入胃肠外科護理管理中的应用效果，现报道如下。……