中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
20期
138-139
,共2页
血液净化%护理安全%护理措施%安全隐患
血液淨化%護理安全%護理措施%安全隱患
혈액정화%호리안전%호리조시%안전은환
Blood purification%Nursing safety%Nursing measures%Hidden danger
目的：探讨血液净化护理安全管理因素及应对措施。方法：2013年1月-2013年12月收治行血液净化患者，共计12467例次，分析血液净化护理安全管理因素。结果：本组发生176例次护理不良事件，发生率1.41%。低血压、失衡综合征、肌肉痛性痉挛等并发症75例，焦虑、抑郁等不良情绪39例，穿刺内瘘血肿、出血34例，治疗告知未及时记录16例，穿刺针管因素12例。分析原因与护士责任心不强、患者安全管理不到位、违反操作流程、环境安全意外等多种因素有关。结论：血液净化室要严格执行核心制度及操作流程，加强环节管理，加强专科知识及心理素质培训，保证血液净化治疗安全进行。
目的：探討血液淨化護理安全管理因素及應對措施。方法：2013年1月-2013年12月收治行血液淨化患者，共計12467例次，分析血液淨化護理安全管理因素。結果：本組髮生176例次護理不良事件，髮生率1.41%。低血壓、失衡綜閤徵、肌肉痛性痙攣等併髮癥75例，焦慮、抑鬱等不良情緒39例，穿刺內瘺血腫、齣血34例，治療告知未及時記錄16例，穿刺針管因素12例。分析原因與護士責任心不彊、患者安全管理不到位、違反操作流程、環境安全意外等多種因素有關。結論：血液淨化室要嚴格執行覈心製度及操作流程，加彊環節管理，加彊專科知識及心理素質培訓，保證血液淨化治療安全進行。
목적：탐토혈액정화호리안전관리인소급응대조시。방법：2013년1월-2013년12월수치행혈액정화환자，공계12467례차，분석혈액정화호리안전관리인소。결과：본조발생176례차호리불량사건，발생솔1.41%。저혈압、실형종합정、기육통성경련등병발증75례，초필、억욱등불량정서39례，천자내루혈종、출혈34례，치료고지미급시기록16례，천자침관인소12례。분석원인여호사책임심불강、환자안전관리불도위、위반조작류정、배경안전의외등다충인소유관。결론：혈액정화실요엄격집행핵심제도급조작류정，가강배절관리，가강전과지식급심리소질배훈，보증혈액정화치료안전진행。
Objective:To explore the management factors affecting blood purification nursing safety and countermeasures.Methods:12467 cases with blood purification were selected from January 2013 to December 2013.We analyzed the nursing safety management factors in blood purification.Results:In this group,there were 176 cases of nursing adverse events.The occurence rate was 1.41% .Complications occurred in 75 cases,including hypotension,disequilibrium syndrome,muscle cramps and so on. 39 cases ad anxiety,depression and other negative emotions.34 cases had hemorrhage and hematoma puncture fistula.Treatment of that had not been recorded in 16 cases.12 cases had puncture needle factors.The reason was related to many factors,including not strong responsibility heart of nurses,patient safety management not in place,the violation of operating process,environment and safety accident and so on.Conclusion:Blood purification room should strictly implement the core system and process,strengthen the management,strengthen the professional knowledge and psychological quality training,to ensure the safety of blood purification therapy.
