新生儿手术护理风险管理中应用护理标识的研究-现代医学

新生儿手术护理风险管理中应用护理标识的研究

单位：南京医科大学附属儿童医院麻醉科, 江苏南京 210008

分类号：R473.72

出版年·卷·期（页码）：2023·51·第七期（997-1001）

摘要：

目的: 探讨护理标识在新生儿手术护理风险管理中的应用价值。方法: 在本院2017年12月-2022年12月收治的新生儿外科手术患儿中,选取99例手术切口为Ⅰ类的患儿作为研究对象,随机分组,对照组52例,管理组47例,对照组采用传统的、常规的手术护理,管理组在传统、常规手术护理基础上增加了各类护理标识的应用,比较两组患儿的基本信息、护理风险事件发生情况、术中及术后相关指标、护理质量评分及患儿家属满意度评分,评价两组护理风险管理效果。结果: 两组患儿在性别、孕周、年龄、出生体重、出生身长、术前血常规中血红蛋白和白细胞计数、血生化中的谷丙转氨酶和白蛋白等基本信息对比无显著差异。管理组发生护理风险事件2例,发生率为4.25%,对照组发生护理风险事件10例,发生率为19.23%,两组比较差异有统计学意义;管理组患儿的手术时间、术后住院时间及住院费用较对照组明显减少,专业技能、护理沟通、手术室环境等护理质量的评分较对照组评分明显升高,患儿家长满意度评分也高于对照组,差异均有统计学意义。结论: 护理标识应用于新生儿手术护理风险管理中可大大降低手术室护理风险事件发生的可能性,提高护理质量,确保了患儿的安全,获得较高的患儿家属的满意度。

Objective: To investigate the value of utilizing nursing identification in the risk management of neonatal surgical care. Methods: Among neonatal surgical patients admitted to our hospital from December 2017 to December 2022, 99 cases with Class I surgical incisions were selected as the research subjects. They were randomly divided into a control group(52 cases) and a management group(47 cases). The control group received traditional and routine surgical care, while the management group incorporated various nursing identification practices in addition to the traditional and routine care. A comparison was made between the two groups regarding basic patient information, occurrence of nursing risk events, intraoperative and postoperative indicators, nursing quality scores, and parental satisfaction scores to evaluate the effectiveness of nursing risk management. Results: There were no significant differences between the two groups in terms of gender, gestational weeks, age, birth weight, birth length, preoperative hemoglobin, white blood cell count, aspartate aminotransferase, and albumin levels in blood biochemistry, etc. The management group had 2 cases of nursing risk events with an occurrence rate of 4.25%, while the control group had 10 cases with an occurrence rate of 19.23%. This difference was statistically significant. The management group showed significantly reduced surgical time, postoperative hospital stay, and hospital costs compared to the control group. Furthermore, the management group achieved higher nursing quality scores in terms of professional skills, nursing communication, and operating room environment, as well as higher parental satisfaction scores, all of which exhibited statistically significant differences compared to the control group. Conclusion: The application of nursing identification in the risk management of neonatal surgical care significantly reduces the occurrence of nursing risk events in the operating room, improves nursing quality, ensures patient safety, and obtains higher levels of parental satisfaction.

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