紀(jì)鵬

[摘要] 目的 探討護(hù)理風(fēng)險(xiǎn)管理在心血管內(nèi)科臨床護(hù)理干預(yù)中的應(yīng)用與價(jià)值。方法 該文隨機(jī)選擇該院心血管內(nèi)科2018年11月—2019年11月收治的74例患者作為該次研究的對(duì)象，將其分為對(duì)照組和觀察組，觀察組進(jìn)行在常規(guī)護(hù)理的基礎(chǔ)上增加護(hù)理風(fēng)險(xiǎn)管理，通過完善各方面的制度、加強(qiáng)護(hù)理人員培訓(xùn)力度、做好風(fēng)險(xiǎn)防控工作等促進(jìn)心血管內(nèi)科臨床護(hù)理工作順利進(jìn)行，而對(duì)照組37例患者采取常規(guī)護(hù)理管理，通過觀察與比較兩組的不良事件發(fā)生率及護(hù)理滿意度得出結(jié)論。結(jié)果 觀察組發(fā)生的不良事件的概率較低，為2.7%，而對(duì)照組的不良事件發(fā)生概率較高，為13.5%（P<0.05）。并且觀察組的患者對(duì)于護(hù)理人員的工作滿意程度更高，醫(yī)患矛盾較少（P<0.05）。結(jié)論 護(hù)理風(fēng)險(xiǎn)管理有助于提升患者的護(hù)理效果，緩解醫(yī)患之間的矛盾，同時(shí)促進(jìn)醫(yī)院各項(xiàng)管理制度不斷趨于完善。

[關(guān)鍵詞] 護(hù)理風(fēng)險(xiǎn)管理;心血管內(nèi)科;護(hù)理干預(yù);應(yīng)用效果

[中圖分類號(hào)] R271.1 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）09（b）-0100-03

[Abstract] Objective To explore the application and value of nursing risk management in clinical nursing intervention of cardiovascular medicine， and to understand whether nursing risk management is worth applying to clinical nursing intervention of cardiovascular medicine. Methods This article randomly selected 74 patients from the Department of Cardiovascular Medicine in the hospital from November 2018 to November 2019 as the subjects of this study. They were divided into a control group and an observation group. The observation group with nursing risk management on the basis of routine care， and the smooth progress of cardiovascular clinical care was promoted by improving various systems， strengthening the training of nursing staff， and doing a good job in risk prevention and control. The 37 patients in the control group adopted routine care management， observing and comparing the incidence of adverse events and nursing satisfaction between the two groups. Results The probability of adverse events in the observation group was low， 2.7%， while the probability of adverse events in the control group was higher， 13.5%（P<0.05）. In addition， patients in the observation group were more satisfied with the work of nursing staff and had fewer doctor-patient conflicts（P<0.05）. Conclusion Nursing risk management helps improve the nursing effect of patients， alleviate the contradiction between doctors and patients， and at the same time promote the continuous improvement of various management systems in the hospital.

[Key words] Nursing risk management; Cardiovascular medical; Nursing intervention; Application effect

心血管疾病又稱為人體內(nèi)的循環(huán)系統(tǒng)疾病，不僅僅可以分為急性和慢性，還會(huì)因?yàn)閯?dòng)脈硬化而加速心血管疾病發(fā)作，這些病都有著一些相似的病因，并且在發(fā)病的過程中也會(huì)有相似之處，采取治療的方法也有相同點(diǎn)，一旦發(fā)病會(huì)直接威脅到人們的生命健康安全[1]。相關(guān)人員通過實(shí)驗(yàn)發(fā)現(xiàn)[2]，護(hù)理風(fēng)險(xiǎn)管理在心血管內(nèi)科臨床護(hù)理干預(yù)中的應(yīng)用能夠提高護(hù)理人員的護(hù)理能力水平與增強(qiáng)護(hù)理風(fēng)險(xiǎn)防范意識(shí)，有利于減少臨床事故的發(fā)生，為了進(jìn)一步了解實(shí)施風(fēng)險(xiǎn)管理在心血管內(nèi)科臨床護(hù)理干預(yù)工作中的效果，該院對(duì)2018年11月—2019年11月實(shí)施護(hù)理風(fēng)險(xiǎn)管理的74例患者進(jìn)行了簡要的分析。現(xiàn)報(bào)道如下。

1 ?資料與方法

1.1 ?一般資料

隨機(jī)選擇該院74例患者作為該次的研究對(duì)象，該次研究通過倫理委員會(huì)批準(zhǔn)并且征得患者意見。將其分為對(duì)照組和觀察組，觀察組37例患者，男21例，女16例;年齡在42～77歲之間;治療時(shí)間為2個(gè)月～10年。對(duì)照組37例患者，男28例，女9例;年齡在42～78歲之間;治療時(shí)間在3個(gè)月～11年。該次研究對(duì)象排除有過往病史、精神壓抑不正常等患者。兩組患者的性別、年齡、治療時(shí)間等一般資料差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。具有可比性。