CAJ | 학술논문

　　目的探讨墨菲定律在血液透析患者护理安全管理中的应用效果。方法选取2011年4～7月某三级甲等综合医院血液透析室4598例次透析设为实施前组，于应用墨菲定律3个月后，2011年11月～2012年1月，再次选取该医院血液透析室5683例次透析设为实施后组。比较墨菲定律实施前后血液透析室护理操作风险和透析设备故障各项指标情况。结果在墨菲定律实施前后，血液透析室护理操作风险及透析设备故障各项指标发生率比较，均P<0.05，差异具有统计学意义，实施后血液透析室护理操作风险及透析设备故障各项目发生率明显低于实施前。结论墨菲定律在血液透析患者安全管理中应用后，护理操作不安全事件及血液透析设备故障情况明显下降，同时其能强化护理人员安全意识，提高其参加安全管理的自觉性，变被动管理为主动管理，确保患者在血液透析中的安全与提高质量。
　　목적탐토묵비정률재혈액투석환자호리안전관리중적응용효과。방법선취2011년4～7월모삼급갑등종합의원혈액투석실4598례차투석설위실시전조，우응용묵비정률3개월후，2011년11월～2012년1월，재차선취해의원혈액투석실5683례차투석설위실시후조。비교묵비정률실시전후혈액투석실호리조작풍험화투석설비고장각항지표정황。결과재묵비정률실시전후，혈액투석실호리조작풍험급투석설비고장각항지표발생솔비교，균P<0.05，차이구유통계학의의，실시후혈액투석실호리조작풍험급투석설비고장각항목발생솔명현저우실시전。결론묵비정률재혈액투석환자안전관리중응용후，호리조작불안전사건급혈액투석설비고장정황명현하강，동시기능강화호리인원안전의식，제고기삼가안전관리적자각성，변피동관리위주동관리，학보환자재혈액투석중적안전여제고질량。
Objective To investigate effect of Murphy's law on the nursing safety management of the hemodialysis patients. Methods 4598 hemodialysis cases in a blood purification center of a first class grade A hospital from April to July in 2011 was assigned as pre-implementation group.Then Murphy's law was used in the nursing practice.In the following,another 5683 hemodialysis cases from November in 2011 to January in 2012 were assigned as post-implementation group.The incidence of nursing risks and hemodialysis equipment failures were compared between the two groups.Result The incidences of nursing risks and hemodialysis equipment failures in the post-implementation group were significantly lower than those of the pre-implementation group(P<0.05).Conclusions Murphy’s law is effective for the declines of nursing manipulative defects and hemodialysis equipment failures.Besides,the law can be good for the strengthened awareness of safety and enhanced consciousness of all staff participating in the safety management so as to ensure the safety and quality of hemodialysis.