护理风险管理在乳腺癌化疗病房的应用  

Effect of implementing risk management in the breast cancer chemotherapy ward

作　　者：陈国珍[1] 郑婉婷[1] 陈殷琴[1] 

机构地区：[1]广东医学院附属医院血管甲状腺乳腺外科,湛江524001

出　　处：《中华现代护理杂志》2012年第32期3901-3903,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨在乳腺癌化疗病房实施护理风险管理的效果。方法对2011年1—6月行乳腺癌化疗的患者进行回顾性调查，分析可能引起药物外渗的因素并采取相应的护理风险管理措施；并于2011年7—12月对护理人员进行干预，对药物渗出情况进行前瞻陛调查，分别评估干预前及干预后护士对化疗药物的认知情况。结果实施护理风险管理后，化疗药物的渗出率较干预前下降了5．7％，无皮肤坏死的情况发生；护士对化疗药物使用的专业知识认知水平较干预前明显提高，两者比较差异有统计学意义（x2值分别为4．727，6．190，4．887，4．887；P〈0．05）。结论在乳腺癌化疗病房实施护理风险管理有助于减少化疗过程中的护理风险，提高护士的专业知识认知水平。Objective To explore the effect of implementing risk management in the breast cancer chemotherapy ward. Methods The breast cancer chemotherapy patients between January 2011 and June 2011 were retrospectively surveyed and analyzed the factors that may caused drug extravasation and took the appropriate care risk management measures, nurses received the intervention between July 2011 and December 2011, the situation of drug leaking was investigated and the nurses＇ cognition on drug chemotherapy before and after intervention was assessed. Results After implementing care risk management, the leakage rate of chemotherapy drug was decreased 5.7%, and no skin necrosis occurred. The nurses＇ professional knowledge about the usage of chemotherapy drug was obviously improved than that before intervention, and the difference was statistically significant （ X2 = 4. 727,6. 190,4. 887,4. 887 ; P 〈 0.05 ）. Conclusions Implementing risk management in breast cancer chemotherapy ward can reduce the risk of care in chemotherapy and improve the nurses＇ professional knowledge.

关 键 词：乳腺肿瘤 护士 护理风险管理 化疗 

分 类 号：R473.73[医药卫生—护理学]