摘要
目的探讨主动风险管理对重症肺炎患者风险控制及治疗负担的影响。方法选取2017年2月—2020年2月我院呼吸科收治的80例重症肺炎患者作为研究对象,按随机数字表法将其分为对照组(n=40)和观察组(n=40)。对照组给予常规护理干预,观察组在此基础上给予主动风险管理进行干预,两组均干预1个月。比较两组干预后的护理风险评分及护理风险事件发生率、护理投诉率以及家属对护理管理的满意率;对比两组干预前、干预后血清WBC、PCT、CRP水平及家属负担评分。结果干预后,观察组风险档案建设、风险预测与分析、危机处置及管理追溯评分均高于对照组(p<0.05);与干预前比,干预后,两组血清WBC、PCT、CRP水平均降低,且观察组显著低于对照组(p<0.05);两组家属身体性负担、情感性负担、社交性负担、时间依赖负担及发展受限负担评分均降低,且观察组显著低于对照组(p<0.05)。观察组护理风险事件发生率、护理投诉率分别为5.00%、7.50%,均显著低于对照组的20.00%、25.00%,患者家属对护理管理的满意率为82.50%,显著高于对照组的60.00%(p<0.05)。结论对重症肺炎患者实施主动风险管理,可缩短住院时间和减轻治疗负担,提高患者护理安全性,进而可提高患者家属对护理管理的满意度。
Objective To explore the influence of active risk Management on risk control and treatment burden of patients with severe pneumonia Methods From February 2017 to February 2020,80 patients with severe pneumonia admitted to the Department of Respiratory Diseases of our hospital were selected as the research objects,and they were divided into a control group(n=40)and an observation group(n=40)according to the random number table method.The control group was given routine nursing intervention,and the observation group was given active risk management intervention on this basis.Both groups were given intervention for 1 month.The nursing risk scores and the incidence of nursing risk events,nursing complaints rate and the satisfaction rate of family members after the intervention were compared between the two groups after intervention;The serum WBC,PCT,CRP levels and family burden scores before and after intervention were compared between the two groups.Results After the intervention,the observation group’s risk file construction,risk prediction and analysis,crisis management and management retrospective scores were all higher than those of the control group(p<0.05);Compared with what before the intervention,the serum WBC,PCT,and CRP levels of the two groups after the intervention were all lowered.The observation group was significantly lower than the control group(p<0.05);The physical burden,emotional burden,social burden,time dependence burden,and development restriction burden scores of family members of the two groups were reduced,and the observation group was significantly lower than the control group(p<0.05).The incidence of nursing risk events and nursing complaint rates in the observation group were 5.00%and 7.50%,which were significantly lower than those in the control group,20.00%and 25.00%.The satisfaction rate of the patient’s family with nursing management was 82.50%,which was significantly higher than that in the control group,60.00%(p<0.05).Conclusion The implementation of active risk management for patients with severe pneumonia can shorten the length of hospitalization and reduce the burden of treatment,improve the safety of patient care,and thereby increase the satisfaction of patients’families with nursing management.
作者
毛曙
高赞美
周安
MAO Shu;GAO Zan-mei;ZHOU An(Jinhua People’s Hospital)
出处
《医院管理论坛》
2020年第12期30-33,共4页
Hospital Management Forum
关键词
主动风险管理
重症
肺炎
风险
治疗负担
Active risk management
Critically ill
Pneumonia
Risk
Treatment burden
