The application effect of nursing risk management in the nursing of respiratory critical ill patients
护理风险管理在呼吸危重症患者护理中的应用效果观察

摘要

目的 观察护理风险管理思路应用在呼吸危重症患者中的效果。方法 选取近两年我院诊治的呼吸危重症患者188例，基于护理管理的方式进行两个小组划分，有基础护理管理的基础管理组、护理风险管理的风险管理组，两组呼吸危重症患者的数量均是94，观察不良事件的产生与患者对护理工作的肯定度评价。结果 基础管理组患者有2例出现烫伤、4例出现跌倒、3例出现坠床、3例出现气管插管的非计划性拔管、4例出现呼吸机的非计划性拔管、3例出现气管切开导管，意外事件产生率是10.7%、非计划性拔管产生率是11.9%，均高于风险管理组，p<0.05；风险管理组患者对拔管护理、饮食护理、护理态度、护理技能、沟通能力与实践操作项目的分数评估均高于基础管理组，p<0.05。结论 呼吸危重症患者的护理干预中，护士要纳入护理风险管理思路，降低不良事件的出现，提高患者肯定度评价，更好地改善患者不良症状。

Abstract

Purpose: Observe the effect of nursing risk management ideas in respiratory critically ill patients.
Methods: select nearly two years of respiratory critically ill patients in 188 cases, based on the way of nursing management of two groups, with the basic nursing management group, nursing risk management risk management group, two groups of respiratory critically ill patients are 94, observe the generation of adverse events and patients of nursing work.
Results: In the basic management group, 2 patients had burns, 4 falls, 3 falling bed, 3 unplanned extubation, 4 unplanned ventilator extubation, 3 tracheotomy catheter, accident rate was 10.7%, unplanned extubation rate was 11.9%, all higher than that of the risk management group, p <0.05; the score assessment of extubation care, dietary care, nursing attitude, nursing skills, nursing skills, communication skills and practical operation items was higher than that of the basic management group, p <0.05.
Conclusion  : In the nursing intervention of respiratory critical patients, nurses should include the nursing risk management idea, reduce the occurrence of adverse events, improve the positive evaluation of patients, and better improve the adverse symptoms of patients.