慢性伤口门诊处理中的风险管理及个体化护理分析  

Risk Management and Individual Nursing in the Treatment of Chronic Wound

作　　者：张静瑜[1] 邱志红[1] 

机构地区：[1]福建省厦门大学附属第一医院烧伤整形科,福建厦门361003

出　　处：《中国卫生产业》2016年第5期166-168,共3页China Health Industry

摘　　要：目的探讨慢性伤口门诊处理中的风险管理及个体化护理方法。方法选取2013年11月—2015年5月在该院接受慢性伤口治疗的患者94例,随机分为两组。对照组47例患者给予常规护理,观察组47例患者给予个体化护理,比较两组护理效果。结果治疗后,对照组中对护理非常满意有26例,满意有11例,不满意有10例,总满意率为78.72%;观察组中对护理非常满意有34例,满意有9例,不满意有4例,总满意率为91.49%。对照组的总满意率明显低于观察组,差异有统计学意义(P<0.05)。对照组中医疗纠纷有8例(17.02%),观察组中医疗纠纷有3例(6.38%)。观察组的医疗纠纷发生率为6.38%,明显低于对照组的17.02%,差异有统计学意义(P<0.05)。观察组并发症发生率为19.15%,低于对照组的46.81%,差异有统计学意义(P<0.05)。结论在慢性伤口的护理中,做好风险管理并采用个体化护理方法,可提高患者护理的满意率,减少医疗纠纷。Objective To explore the clinic treatment of chronic wounds in risk management and individualized nursing methods. Methods 94 cases of patients from November 2013 to May 2015 to accept the treatment of chronic wounds in our hospital, were randomly divided into two groups. The control group 47 patients were given conventional nursing, the observation group 47 patients were given individualized nursing, nursing effect the two groups were compared. Results after treatment, the control group of nursing satisfaction is 26 cases, with 11 cases, with 10 cases, the total satisfaction rate was78.72%; in the observation group on nursing satisfaction was 34 cases, 9 cases were satisfied, not satisfied with 4 cases, the total satisfaction rate of total satisfaction the 91.49%. group was significantly lower than the observation group, the difference was statistically significant（P〈0.05）. The control group had 8 cases of medical disputes（17.02%）, the observation group in medical disputes in 3 cases（6.38%）. The observation group the incidence of medical disputes was6.38%, significantly lower than the control group 17.02%, the difference There was significant difference（P〈0.05）.Observation group, the complication rate for 19.15%, lower than the 46.81% in the control group, the difference is statistically significant（P〈0.05）. Conclusion in chronic wound care, good risk management and the use of individualized nursing method, improve patient care satisfaction rate, reduce medical disputes.

关 键 词：慢性伤口 个体化护理 风险管理 满意率 

分 类 号：R473.6[医药卫生—护理学]