CAJ | 학술논문

目的：分析笔者所在医院新生儿科中的30例护理不良事件的发生原因，总结此类事件的相关防范策略。方法：以笔者所在医院新生儿科中发生的30例不良护理事件作为对象，对发生时间、具体分类、护士工作年限、床位使用率以及发生原因等资料进行回顾分析，总结不良事件防范策略。结果：新生儿科中不良事件在10∶00~16∶00的发生率为63.33%，显著高于其他时间段(P<0.05)；皮肤损伤事件发生率为30.33%，显著高于其他各类事件(P<0.05)；护士工作年限不足1年的不良事件发生率为60.00%，高于其他年限的发生率(P<0.05)；床位使用率100%的患者不良事件发生率为63.33%，高于其他使用率患者(P<0.05)；查对工作落实不足所导致不良事件发生率为43.33%，明显高于其他原因(P<0.05)。结论：新生儿科护理中护士工作年限少、查对工作落实不足及患者过多使用床位等原因均为不良护理事件的诱因。此外，白班为护理事件的高发时段，皮肤损伤为高发的事件，护理人员应重点针对此类原因，改善护理工作，降低不良事件发生率。
목적：분석필자소재의원신생인과중적30례호리불량사건적발생원인，총결차류사건적상관방범책략。방법：이필자소재의원신생인과중발생적30례불량호리사건작위대상，대발생시간、구체분류、호사공작년한、상위사용솔이급발생원인등자료진행회고분석，총결불량사건방범책략。결과：신생인과중불량사건재10∶00~16∶00적발생솔위63.33%，현저고우기타시간단(P<0.05)；피부손상사건발생솔위30.33%，현저고우기타각류사건(P<0.05)；호사공작년한불족1년적불량사건발생솔위60.00%，고우기타년한적발생솔(P<0.05)；상위사용솔100%적환자불량사건발생솔위63.33%，고우기타사용솔환자(P<0.05)；사대공작락실불족소도치불량사건발생솔위43.33%，명현고우기타원인(P<0.05)。결론：신생인과호리중호사공작년한소、사대공작락실불족급환자과다사용상위등원인균위불량호리사건적유인。차외，백반위호리사건적고발시단，피부손상위고발적사건，호리인원응중점침대차류원인，개선호리공작，강저불량사건발생솔。
Objective:To analyze the causes of 30 neonatal care 30 cases at our hospital and summarize the relevant preventive strategies.Method:Time of occurrence,the specific classification,nurse working time,bed utilization ratio and the causes were retrospectively analyzed and summarized adverse events preventive strategies based on the 30 cases of adverse events at our hospital.Result:63.33%of neonatal adverse events occurred at 10∶00-16∶00,significantly higher than any other time periods(P<0.05). Skin damage incident accounts for 30.33%,significantly higher than other types of events(P<0.05). Adverse events which involves nurses with less than one year of work experience account for 60.00%,higher than the incidence of other groups(P<0.05). Patients whose bed occupancy rate of 100%account for 63.33%of the adverse events,higher than the other use rate in patients(P<0.05). Adverse events caused by lack of checking on work implement account for 43.33%,significantly higher than for other reasons(P<0.05).Conclusion:Short working time of neonatal care nurses,lack of checking work on patients and excessive use of nursing beds are main causes to adverse events. In addition,day shift is the high time of care event,and skin damage is more common than other events. Therefore,care personnel should focus on such reasons to improve care and reduce the incidence of adverse events.