董秋玉 劉金玲

[摘要] 目的 探究風(fēng)險(xiǎn)評(píng)估管理對(duì)老年高血壓患者的應(yīng)用價(jià)值。方法 選取2018年1—12月期間收入該院治療的98例高血壓患者為例，均分為對(duì)照組（n=49）、觀察組（n=49），對(duì)照組實(shí)施常規(guī)護(hù)理管理，觀察組在對(duì)照組的基礎(chǔ)上加以風(fēng)險(xiǎn)評(píng)估管理，對(duì)比兩組不良事件的發(fā)生情況以及護(hù)理滿意度。結(jié)果 通過對(duì)高血壓患者實(shí)施風(fēng)險(xiǎn)評(píng)估管理，觀察組患者跌倒、壓瘡、管道打結(jié)的總發(fā)生幾率為2.04%，顯著低于對(duì)照組患者跌倒、壓瘡、管道打結(jié)總不良事件的發(fā)生幾率14.28%，組間比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者對(duì)臨床護(hù)士的服務(wù)態(tài)度、技術(shù)水平、護(hù)理質(zhì)量評(píng)分分別為（82.15±6.14）分、（83.58±6.58）分、（81.57±7.48）分，均高于對(duì)照組服務(wù)態(tài)度、技術(shù)水平、護(hù)理質(zhì)量評(píng)分（73.35±5.36）分、（74.25±6.74）分、（72.87±6.47）分，組間比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 對(duì)老年高血壓患者實(shí)施風(fēng)險(xiǎn)評(píng)估管理，可根據(jù)評(píng)估風(fēng)險(xiǎn)級(jí)別，實(shí)施相應(yīng)的管理措施，有效預(yù)防患者發(fā)生跌倒、壓瘡、管道打結(jié)等不良事件的發(fā)生，從而有效提高護(hù)理滿意度。

[關(guān)鍵詞] 風(fēng)險(xiǎn)評(píng)估;護(hù)理管理;護(hù)理滿意度;老年;高血壓

[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）06（a）-0046-03

[Abstract] Objective To explore the application value of risk assessment management in elderly patients with hypertension. Methods 98 cases of hypertension patients admitted to the hospital from January 2018 to December 2018 were selected as examples， and were divided into control group（n=49） and observation group（n=49）. The control group adopted routine nursing management， the observation group based on the risk control management of the control group， the incidence of adverse events and nursing satisfaction were compared between the two groups. Results By implementing risk assessment management for hypertension patients， the total incidence of falls， pressure ulcers， and tube knots in the observation group was 2.04%， which was significantly lower than the total adverse events of falls， pressure ulcers， and tube knots probability in the control group was 14.28%， and the difference between the groups was satistically significant（P<0.05）. The observation group's service attitude， technical level， and quality of care scores for clinical nurses were （82.15±6.14）points， （83.58±6.58）points， and（81.57±7.48）points， which were higher than the control group's service attitude， technical level， nursing quality scores were （73.35±5.36）points， （74.25±6.74）points， and （72.87±6.47）points. There were satistically significant differences between groups（P<0.05）. Conclusion The implementation of risk assessment management for elderly patients with hypertension can implement corresponding management measures according to the assessed risk level， which can effectively prevent the occurrence of adverse events such as falls， pressure ulcers， and tube knots in patients.

[Key words] Risk assessment; Nursing management; Nursing statisfaction; Elderly; Hypertension

近幾年來，隨著人們生活習(xí)慣的改變，心血管疾病的發(fā)病率居高不下。尤其是高血壓一類疾病，易引發(fā)腦出血，嚴(yán)重影響患者的生命安全[1]。該疾病的發(fā)病因素尚不明確，可能與氣候、情緒、生活習(xí)慣等有關(guān)。隨著護(hù)理學(xué)科的不斷發(fā)展，與以往的護(hù)理水平相比較，有著很大的提高，但是由于部分護(hù)理人員的經(jīng)驗(yàn)不足，臨床護(hù)理中仍存在較多的安全隱患，為患者帶來疾病意外的痛苦。因此實(shí)施有效的管理顯得尤為重要。據(jù)研究表明，風(fēng)險(xiǎn)評(píng)估管理應(yīng)用在老年高血壓患者的護(hù)理管理中取得良好的應(yīng)用效果。為此，該文選取2018年1—12月收治入院的98例患者，針對(duì)風(fēng)險(xiǎn)評(píng)估管理對(duì)老年高血壓患者的應(yīng)用價(jià)值進(jìn)行深入研究，現(xiàn)報(bào)道如下。