Open Access Article
International Journal of Nursing Research. 2019; 1: (1) 6; 32-36 ; DOI: DOI:10.12208/j.ijnr.20190006.
Effect of nursing intervention on reducing the incidence of nursing disputes in emergency department
护理干预对降低急诊科护理纠纷发生率的效果
作者：
李莎 *
西安市中心医院急诊科
*通讯作者：
李莎,单位：西安市中心医院急诊科；
发布时间: 2019-08-23 总浏览量: 1479
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摘要
目的：医院急诊科室在进行病患诊治过程中给予干预性的看护服务，探讨干预看护措施的诊疗效果及病患对其满意度的调查，以减少不良事件纠纷的发生。方法：本次选择2018年1月至2018年10月在本院急诊科室进行诊疗的120名病人，分为A组和B组，各组60名病人，其中A组的病人进行日常的规范看护，B组的病人给予高品质的干预看护方法进行照料。对比两个组的病人对看护工作满意度的调查，以及看护过程中发生纠纷的情况进行对比。结果：1、两个组病患对看护工作满意度的调查对比。B组病患对看护工作的满意度：非常满意21名，较满意38名，较不满意1名，没有完全不满意，总满意度为98.33%；A组病患对看护工作的满意度：非常满意15名，较满意34名，较不满意7名，不满意4名，总满意度为90.67%。两个组间的比较有显著的统计学差异（P＜0.05）。2、在看护过程中发生看护纠纷情况的对比。在急诊科室的看护过程，A组发生了5例看护纠纷，纠纷发生率为8.33%，B组发生了1例看护纠纷，发生率为1.67%，B组的纠纷发生率明显低于A组，具有统计学差异（P＜0.05）。结论：高品质的干预护理可以提升急诊科室工作人员的诊疗工作效率，增加病患及家人的的满意度和社会的满意度，增加病人及其家人对诊疗工作者的信任度，减少在诊治过程中相关人员与病人或其家人之间的发生矛盾， 避免不必要的看护纠纷的发生，在临床实践中值得积极推广。
关键词： 干预护理；急诊；应用效果；医疗纠纷
Abstract
Objective: The hospital emergency department provides intervention nursing services during the diagnosis and treatment of patients, and investigates the diagnosis and treatment effect of intervention nursing measures and the patient's satisfaction with the investigation to reduce the occurrence of adverse event disputes. METHODS: 120 patients who were treated in the emergency department of our hospital from January 2018 to October 2018 were divided into group A and group B, with 60 patients in each group. Patients in group A were routinely trained. Patients in Group B were given high quality intervention care methods for care. The comparison between the two groups of patients on the satisfaction of nursing work and the situation in the process of nursing care were compared. Results: 1. Comparison of the satisfaction of nursing care work between the two groups of patients. Satisfaction of nursing care in group B: 21 people were very satisfied, 38 were satisfied, 1 was less satisfied, not completely dissatisfied, the total satisfaction was 98.33%; the satisfaction of group A patients on nursing work: Very satisfied with 15 people, 34 satisfied, less satisfied with 7, not satisfied with 4, the total satisfaction was 90.67%. There was a statistically significant difference between the two groups (P < 0.05). 2. Comparison of care disputes during the care process. In the nursing department of the emergency department, there were 5 cases of nursing disputes in group A, the dispute rate was 8.33%, and 1 case of nursing dispute occurred in group B, the incidence rate was 1.67%. The dispute rate of group B was significantly lower than that of group A. Statistically significant (P < 0.05). Conclusion : High-quality intervention nursing can improve the efficiency of diagnosis and treatment of emergency department staff, increase the satisfaction of patients and family members and social satisfaction, increase the trust of patients and their families to the clinicians, and reduce the diagnosis and treatment process. The contradiction between the relevant personnel and the patient or their family members, to avoid the occurrence of unnecessary care disputes, is worthy of active promotion in clinical practice.
Key words： Intervention nursing; emergency department; application effect; medical dispute
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引用本文
李莎, 护理干预对降低急诊科护理纠纷发生率的效果[J]. 国际护理学研究, 2019; 1: (1) : 32-36.