CAJ | 학술논문

目的：探讨风险管理在临床外科护理管理中的应用及其效果评价。方法将外科住院患者根据住院时间分为对照组（ n＝468）和观察组（ n＝436），对照组给予常规护理，观察组采用风险管理护理，比较两组患者在护理风险发生率、护理质量和患者满意度方面的差异。结果实施风险管理护理后，患者的护理风险发生率由9．40％降低为3．44％，差异有统计学意义（χ2＝13．149，P＜0．01）；患者满意度由（85．2±5．9）分提高至（98．3±6．1）分，差异有统计学意义（t＝32．545，P＜0．01）。实施风险管理前后护理质量比较差异均有统计学意义（P＜0．01）。结论将风险管理应用到外科护理中可以有效地降低护理风险的发生率，提高护理质量和患者的满意度。
목적：탐토풍험관리재림상외과호리관리중적응용급기효과평개。방법장외과주원환자근거주원시간분위대조조（ n＝468）화관찰조（ n＝436），대조조급여상규호리，관찰조채용풍험관리호리，비교량조환자재호리풍험발생솔、호리질량화환자만의도방면적차이。결과실시풍험관리호리후，환자적호리풍험발생솔유9．40％강저위3．44％，차이유통계학의의（χ2＝13．149，P＜0．01）；환자만의도유（85．2±5．9）분제고지（98．3±6．1）분，차이유통계학의의（t＝32．545，P＜0．01）。실시풍험관리전후호리질량비교차이균유통계학의의（P＜0．01）。결론장풍험관리응용도외과호리중가이유효지강저호리풍험적발생솔，제고호리질량화환자적만의도。
Objective To explore the application and effect of risk management in clinical surgical nursing management .Methods Surgical patients in Chinese and western combined hospital of Taizhou were divided into control group(n=468) and observation group(n=436) according to the time of entrance hospital. Control group received routine nursing , while observation group received risk management .Then, the risk incidence , nursing quality and patients satisfaction were observed and analyzed .Results After the implementation of nursing risk management in clinical surgical nursing , nursing risk incidence was reduced from 9.40%to 3.44%,and the difference was statistically difference (χ2 =13.149,P<0.01).And the patients satisfaction scores were significantly improved [(98.3 ±6.1) vs(85.2 ±5.9);t=32.545,P<0.01)].Before and after the implementation of risk management quality scores comparison difference had statistical significance ( P<0.01 ) .Conclusions Nursing risk management can effectively reduce the nursing risk incidence , improve the nursing quality and patients satisfaction .