Research and optimization of risk management for emergency nursing operation
优化急诊护理操作实施风险管理研究

摘要

目的 分析在急诊科护理操作中使用风险管理对提升急诊护理质量的影响。方法 组内共选取了60例患者作为研究对象，均为我院急诊科于2019年4月至2020年1月收治，在入组后按照护理管理方法的不同将患者随机分配为对照组和观察组，每组30例患者，其中对照组采用常规护理管理，观察组需在常规护理管理的基础上增加风险护理管理，对比两种不同护理管理方法的临床应用效果。结果 使用风险护理管理的观察组，出现1例风险情况，风险发生率（3.32%）；对照组出现5例风险情况，风险发生率（16.67%），观察组风险发生率明显低于对照组，存在统计学意义，（P＜0.05）。其次，观察组基础护理评分（97.23±5.12）分，风险评估（98.56±5.87）分，规避纠纷（91.36±2.57）分，护理操作（96.75±4.23）分，应急处理（91.87±6.98）分，病历书写（96.41±5.73）分；对照组护理质量评分分别为（89.36±5.12）分、（80.63±5.28）分、（84.23±2.44）分、（90.23±5.17）分、（84.66±3.52）分、（82.64±4.09）分，两组护理质量评分间无较大差异，具有统计学意义，（P＜0.05）。结论 将风险护理管理应用于急诊护理操作中可有效提高护理安全性，对促进患者康复有重要意义。

Abstract

Objective: To analyze the impact of using risk management in the emergency nursing operations on improving the quality of emergency nursing.
Methods: A total of 60 patients were selected as the research objects in the group. They were admitted to the emergency department of our hospital from April 2019 to January 2020. After enrollment, the patients were randomly assigned to the observation group and the control group, according to different nursing management methods. There are 30 patients in each group. The control group adopts routine nursing management, and the observation group needs to increase risk nursing management on the basis of routine nursing management, and compare the clinical application effects of two different nursing management methods.
Results: In the observation group using risk care management, there was 1 case of risk and the incidence of risk (3.32%); in the control group, there were 5 cases of risk and the incidence of risk (16.67%). The incidence of risk in the observation group was significantly lower than that of the control group. There is statistical significance, (P <0.05). Second, the observation group basic nursing score (97.23 ± 5.12) points, risk assessment (98.56 ± 5.87) points, avoidance of disputes (91.36 ± 2.57) points, nursing operations (96.75 ± 4.23) points, emergency treatment (91.87 ± 6.98) points, medical record writing (96.41 ± 5.73) points; control group nursing quality scores were (89.36 ± 5.12) points, (80.63 ± 5.28) points, (84.23 ± 2.44) points, (90.23 ± 5.17) points, (84.66 ± 3.52) points , (82.64 ± 4.09) points, there is no significant difference between the nursing quality scores of the two groups, with statistical significance, (P <0.05).
Conclusion  : The application of risk nursing management in emergency nursing operations can effectively improve the safety of nursing and is of great significance to promote the rehabilitation of patients.