【摘要】 目的探讨分析风险管理在门诊儿童输液安全中的应用效果。方法选择2017年1～3月在我院门诊输液的361例患儿作为观察组,2016年7～9月在我院门诊输液的412例患儿作为对照组。观察组患儿采取风险管理,比较两组患儿输液危急值(RPN)变化以及两组患儿基础护理合格率、患儿家属对护理服务的满意率,并比较风险管理对护理人员汉密尔顿焦虑量表(HAMA)评分的影响。结果观察组患儿穿刺失败、输液较快、接瓶液体错误以及药物配制错误RNP值均显著低于对照组,差异具有统计学意义(p<0.05);观察组患儿基础护理合格率及患儿家属对护理服务的满意度均显著高于对照组,差异具有统计学意义(p<0.05);观察组护理人员HAMA总分、精神性焦虑评分以及躯体性焦虑评分均显著低于对照组,差异具有统计学意义(p<0.05)。结论风险管理能够有效降低门诊儿童输液中的潜在风险,提高护理人员基本护理技能以及患儿家属对护理的满意度,同时有助于降低护理人员焦虑程度,提高护理服务质量。更多还原

【Abstract】 Objective To explore the effect of risk management on the infusion safety of children in the outpatient department. Method A total of 361 children receiving infusion in the outpatient department of our hospital from January to March, 2017 were selected as the observation group, and 412 children receiving infusion from July to September, 2016 were selected as the control group. Risk management was employed in the observation group. The change of Risk Priority Number(RPN) of infusion, the eligible rate of basic care, and the satisfaction rate of the children’s family members with the nursing service were compared between the two groups. The influence of risk management on the scores of Hamilton Anxiety Scale(HAMA) for the nursing staff was also compared. Results The RPN values of puncture failure, rapid infusion, wrong fluid change during infusion, and incorrect drug preparation were significantly lower in the observation group than in the control group(p<0.05). The eligible rate of basic care and the satisfaction rate of the children’s family members with the nursing service were significantly higher in the observation group, and the difference was statistically significant(p<0.05). The total HAMA score, mental anxiety score, and physical anxiety score were all significantly lower in the observation group than those in the control group, and the difference was statistically significant(p<0.05). Conclusion Risk management can effectively reduce the potential risk of infusion for children in outpatient department, improve the basic nursing skills of nursing staff and the satisfaction of the families of children with nursing service, and at the same time help reduce the anxiety of nursing staff and improve the quality of nursing services.更多还原