黃銀娟

【摘要】 目的：研究運(yùn)用預(yù)見性護(hù)理風(fēng)險(xiǎn)管理對(duì)降低早產(chǎn)兒醫(yī)院感染發(fā)生率的影響。方法：選擇2015年7月-2016年12月本院新生兒科收治的早產(chǎn)兒146例，根據(jù)護(hù)理方案的不同分為觀察組（n=72）和對(duì)照組（n=74）。對(duì)照組早產(chǎn)兒給予常規(guī)護(hù)理，觀察組早產(chǎn)兒在此基礎(chǔ)上實(shí)施預(yù)見性護(hù)理風(fēng)險(xiǎn)管理方式。觀察兩組早產(chǎn)兒發(fā)生院內(nèi)感染的情況，比較兩組護(hù)理不良事件的發(fā)生率以及家屬滿意度的調(diào)查。結(jié)果：觀察組早產(chǎn)兒醫(yī)院感染發(fā)生率為8.33%，明顯低于對(duì)照組的20.27%（P<0.05）；而觀察組護(hù)理不良事件發(fā)生率為20.83%，低于對(duì)照組的39.19%（P<0.05），觀察組早產(chǎn)兒家屬滿意度為84.72%高于對(duì)照組的66.22%（P<0.05）。結(jié)論：基于預(yù)見性護(hù)理的護(hù)理風(fēng)險(xiǎn)管理模式能有效降低早產(chǎn)兒發(fā)生院內(nèi)感染的幾率，并增加護(hù)士在進(jìn)行護(hù)理時(shí)的主動(dòng)性，減少臨床護(hù)理時(shí)發(fā)生護(hù)理風(fēng)險(xiǎn)事件的幾率，且家屬滿意度高，有利于緩解醫(yī)患關(guān)系，值得醫(yī)院新生兒科臨床推廣。

【關(guān)鍵詞】 預(yù)見性護(hù)理； 護(hù)理風(fēng)險(xiǎn)管理； 早產(chǎn)兒； 醫(yī)院感染

Effect of Predictive Nursing Risk Management on Reducing the Incidence of Nosocomial Infection/HUANG Yin-juan.//Medical Innovation of China，2017，14（14）：074-078

【Abstract】 Objective：To study the effect of predictive nursing risk management on reducing the incidence of nosocomial infection in premature infants.Method：From July 2015 to December 2016 in our hospital 146 premature were selected and divided into the observation group（n=72） and the control group（n=74） according to the different nursing plans，the control group was given routine nursing，while the observation group was given routine treatment and predictive nursing risk management.The incidence of nosocomial infection of two groups was observed，and the incidence of adverse events and family satisfaction of two groups were compared.Result：The infection rate of the observation group was 8.33%，it was significantly lower than that of the control group（20.27%）（P<0.05）.The nursing adverse events of the observation group was 20.83%，it was less than that of the control group （39.19%）（P<0.05），the premature family satisfaction of the observation group was 84.72%，it was higher than that of the control group（66.22%）（P<0.05）.Conclusion：The nursing risk management model based on predictive nursing can effectively reduce the risk of nosocomial infection in preterm infants and increase the nurses' initiative in nursing care，reduce the chance of nursing risk events in clinical nursing，and has high family satisfaction，helps to ease the tension between doctors and patients.

【Key words】 Predictive nursing； Nursing risk management； Premature infant； Nosocomial infection

First-authors address：No.1 Maternal and Child Health Hospital of Huizhou City，Huizhou 516001，China

doi：10.3969/j.issn.1674-4985.2017.14.020

院內(nèi)感染是指患者在住院期間在院內(nèi)獲得的感染，以及在醫(yī)院獲得感染而處于潛伏期，出院后出現(xiàn)癥狀的感染[1]。早產(chǎn)兒因自身免疫力低下、各器官功能發(fā)育尚不完全、環(huán)境器具或醫(yī)護(hù)人員攜帶病原體等原因發(fā)生院內(nèi)感染[2-3]。護(hù)理風(fēng)險(xiǎn)管理是指評(píng)估、識(shí)別、干預(yù)護(hù)理人員在對(duì)病人進(jìn)行護(hù)理操作時(shí)可能產(chǎn)生傷害的風(fēng)險(xiǎn)[4]。進(jìn)行預(yù)見性護(hù)理風(fēng)險(xiǎn)管理的目的在于明確護(hù)護(hù)理風(fēng)險(xiǎn)所在、掌握其規(guī)律、提高防范意識(shí)以及有效地回避護(hù)理風(fēng)險(xiǎn)，為患者提供優(yōu)質(zhì)的護(hù)理[5-6]。故本院實(shí)行預(yù)見性護(hù)理風(fēng)險(xiǎn)管理，以期減少早產(chǎn)兒發(fā)生院內(nèi)感染的幾率，現(xiàn)報(bào)告如下。