CAJ | 학술논문

目的：分析在内科护理中实施风险管理的效果。方法在护理风险管理前后，分别对内科护士及患者进行问卷调查。共调查护士87名，评价护士风险管理意识及护理质量；调查患者风险管理前后患者各98例，比较风险事件发生率、护患纠纷投诉率、护理满意率等指标。结果实施风险管理后，护士的风险管理意识、风险管理态度、风险管理行为及护理质量考核评分分别为（22．4±2．6），（23．5±2．2），（24．5±2．7），（98．47±1．9）分，高于实施前的（15．6±4．8），（13．4±2．7），（13．5±2．8），（88．36±2．4）分，差异有统计学意义（t值分别为5．725，6．477，7．013，5．467；P＜0．05）；实施风险管理后，风险事件、护患纠纷发生率分别为1．02％，0．00％，低于实施前的7．14％，5．10％，差异有统计学意义（χ2值分别为4．327，4．879；P＜0．05），患者满意率由实施前的79．59％升高到98．98％，差异有统计学意义（χ2＝4．732，P＜0．05）。结论实施护理风险管理能提高护士的风险意识及工作质量，有利于减少意外事故，提高患者满意度。
목적：분석재내과호리중실시풍험관리적효과。방법재호리풍험관리전후，분별대내과호사급환자진행문권조사。공조사호사87명，평개호사풍험관리의식급호리질량；조사환자풍험관리전후환자각98례，비교풍험사건발생솔、호환규분투소솔、호리만의솔등지표。결과실시풍험관리후，호사적풍험관리의식、풍험관리태도、풍험관리행위급호리질량고핵평분분별위（22．4±2．6），（23．5±2．2），（24．5±2．7），（98．47±1．9）분，고우실시전적（15．6±4．8），（13．4±2．7），（13．5±2．8），（88．36±2．4）분，차이유통계학의의（t치분별위5．725，6．477，7．013，5．467；P＜0．05）；실시풍험관리후，풍험사건、호환규분발생솔분별위1．02％，0．00％，저우실시전적7．14％，5．10％，차이유통계학의의（χ2치분별위4．327，4．879；P＜0．05），환자만의솔유실시전적79．59％승고도98．98％，차이유통계학의의（χ2＝4．732，P＜0．05）。결론실시호리풍험관리능제고호사적풍험의식급공작질량，유리우감소의외사고，제고환자만의도。
Objective To investigate the effect of risk management training in internal medicine nursing.Methods Before and 10 months after applying the risk management , nurses from the department of internal medicine were surveyed by questionnaires .87 nurses were evaluated on the nursing risk consciousness and nursing quality.Before (98 patients) and after (98 patients) the nursing risk management, the incidence of risk events and complaint , and patients'satisfaction degree were compared .Results After the application of nursing risk management , the scores of risk consciousness and attitude , the behavior of risk management and the quality of nursing care were (22.4 ±2.6), (23.5 ±2.2), (24.5 ±2.7) and (98.47 ±1.9), which were significantly higher than (15.6 ±4.8), (13.4 ±2.7), (13.5 ±2.8) and (88.36 ±2.4) before the risk management (t=5.725,6.477,7.013,5.467, respectively; P<0.05).After the application of nursing risk management , the incidence of risk events , complaint rate of disputes between nursing staff and patients were 1.02%and 0.00%, which significantly decreased than 7.14%and 5.10%before the risk management (χ2 =4.327, 4.879, respectively;P <0.05).The patients'satisfaction degree was increased from 79.59% to 98.98%(χ2 =4.732,P<0.05).Conclusions The application of nursing risk management can improve the nursing risk consciousness and nursing quality in the department of internal medicine .It also can reduce the incidence of risk events , complaint rate of disputes between nursing staff and patients , and raise the patients'satisfaction degree .