Analysis of common nursing risk factors and preventive measures in infectious diseases department
感染性疾病科常见护理风险因素及防范措施分析

摘要

目的：对感染性疾病科常见护理因素进行全面的分析，并根据分析结果制定相应的防范措施。方法：便利选取我院感染性疾病科于2019年1月~2020年1月期间收治的患儿作为主要研究对象，共计100例。采用随机双盲选法将其中50例患者分到对照组，另外50例分到观察组。将常规护理干预方法应用到对照组患者的护理工作中，观察组则对护理风险因素进行全面的分析，根据分析后制定相应的防范措施，实施针对性的护理干预。两组接受不同方法护理后，对临床情况进行观察和分析，统计所产生的相关数据。同时比较两组护理意外事件、医疗纠纷的发生情况和两组护理满意度。结果：通过对感染性疾病科的护理风险因素分析得知，其主要因素包括：不规范的隔离和消毒、护理人员缺乏消毒意识、对医疗废物的处理欠妥等。针对护理风险因素，制定防范措施并应用于观察组中发现，其无论是护理意外事件的发生率，还是医疗纠纷的发生率，均优于对照组，两组差异显著有统计学意义；另外，观察组护理满意度高于对照组，差异显著，有统计学意义（P＜0.05）。结论：本研究表明，在感染性疾病科的护理工作中，对护理风险因素进行详细的分析，并制定防范措施，实施针对性的护理干预，能够有效的减少风险事件的发生，对护理工作中安全性的提高有着积极作用。

Abstract

Objective: To conduct a comprehensive analysis of common nursing factors in infectious disease departments, and to formulate corresponding preventive measures based on the analysis results.
Methods: To facilitate the selection of 100 children who were treated in our infectious disease department from January 2019 to January 2020. Randomized double-blind selection was used to assign 50 patients to the control group and the other 50 patients to the observation group. The routine nursing intervention method was applied to the nursing work of the control group patients, and the observation group conducted a comprehensive analysis of the nursing risk factors, based on the analysis, formulated corresponding preventive measures and implemented targeted nursing interventions. After the two groups received different methods of nursing, the clinical situation was observed and analyzed, and the relevant data generated were counted. At the same time, the incidence of nursing accidents, medical disputes, and nursing satisfaction between the two groups were compared.
Results: According to the analysis of nursing risk factors of infectious disease department, the main factors include: irregular isolation and disinfection, lack of disinfection awareness of nursing staff, and inadequate treatment of medical waste. In view of nursing risk factors, preventive measures were developed and applied to the observation group. It was found that both the incidence of nursing accidents and the incidence of medical disputes were better than the control group. The difference between the two groups was statistically significant; the nursing satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant (P <0.05).
Conclusion  : This study shows that in the nursing work of the Department of Infectious Diseases, a detailed analysis of nursing risk factors and the development of preventive measures and implementation of targeted nursing interventions can effectively reduce the occurrence of risk events, and improved security has a positive effect.