CAJ | 학술논문

目的：探讨护理风险管理在重度烧伤患者重症监护中的应用效果。方法选取护理风险管理干预前收治的患者为对照组,护理风险管理干预后收治的患者为观察组。比较护理风险管理前后护士对重度烧伤护理风险相关知识的掌握情况,治疗期间患者的不良事件发生情况、BICU 住院时间以及护理工作质量。结果实施护理风险管理干预前护士重度烧伤护理风险相关知识考核平均分为(78.3±10.8)分,干预后提高至(87.6±11.3)分,差异有统计学意义(t =2.524,P <0.05)。观察组患者治疗期间发生压疮14例、医院感染2例、创面脓毒血症22例,均低于对照组,差异有统计学意义(χ2值分别为5.340,5.273,9.877；P <0.05)。结论护理风险管理的实施能有效提高护理人员的风险意识和应对能力,对减少护理不良事件和护理纠纷的发生具有重要意义,值得推广应用。
목적：탐토호리풍험관리재중도소상환자중증감호중적응용효과。방법선취호리풍험관리간예전수치적환자위대조조,호리풍험관리간예후수치적환자위관찰조。비교호리풍험관리전후호사대중도소상호리풍험상관지식적장악정황,치료기간환자적불량사건발생정황、BICU 주원시간이급호리공작질량。결과실시호리풍험관리간예전호사중도소상호리풍험상관지식고핵평균분위(78.3±10.8)분,간예후제고지(87.6±11.3)분,차이유통계학의의(t =2.524,P <0.05)。관찰조환자치료기간발생압창14례、의원감염2례、창면농독혈증22례,균저우대조조,차이유통계학의의(χ2치분별위5.340,5.273,9.877；P <0.05)。결론호리풍험관리적실시능유효제고호리인원적풍험의식화응대능력,대감소호리불량사건화호리규분적발생구유중요의의,치득추엄응용。
Objective To investigate the application effect of nursing risk management among severe burn patients in intensive care unit ( ICU). Methods To select patients who were treated by nursing risk management intervention before was as control group, and the patients after nursing risk management intervention were chosen as observation group. We comparatively analyzed the knowledge control of nursing risk management before and after the intervention, adverse events of the patients, BICU hospitalization time, and the nursing work quality. Results The knowledge related severe burn acquired the average score of (78. 3 ± 10. 8) before intervention and (87. 6 ±11. 3) after intervention (t =2. 524,P <0. 05). During the treatment in the observation group, there were 14 cases pressure ulcer, 2 cases nosocomial infection, and 22 cases wound sepsis, all which were lower than those of the control group (χ2 =5. 340,5. 273,9. 877,respectively;P <0. 05). Conclusions The implementation of the nursing risk management can effectively improve the nurses′ risk consciousness and coping capacity, and it has great significance in reducing the occurrence of nursing adverse events and nursing disputes, so it is worth of popularization and application.