护理风险管理对重型颅脑损伤患者不良事件及生活质量的影响  

Effect of nursing risk management on adverse events and quality of life in patients with severe craniocerebral injury

作　　者：欧阳玲[1] 陈海燕[2] 刘昌华[2] 王继伟[3] 戴盼 Ouyang Ling;Chen Haiyan;Liu Changhua;Wang Jiwei;Dai Pan(Neurosurgery,No.174 Hospital of PLA,Xiamen 361003,China;Department of Medical Imaging,No.174 Hospital of PLA,Xiamen 361003,China;Department of Information,No.174 Hospital of PLA,Xiamen 361003,China;Medical Examination Center,No.174 Hospital of PLA,Xiamen 361003,China)

机构地区：[1]解放军第一七四医院神经外科,厦门361003 [2]解放军第一七四医院医学影像科,厦门361003 [3]解放军第一七四医院信息科,厦门361003 [4]解放军第一七四医院体检中心,厦门361003

出　　处：《国际医药卫生导报》2020年第1期129-131,共3页International Medicine and Health Guidance News

摘　　要：目的探讨护理风险管理对重型颅脑损伤患者不良事件及生活质量的影响。方法选择2016年7月至2019年7月本院收治的重型颅脑损伤患者160例,按随机数字表法分为两组,各80例。对照组采用常规护理,观察组在常规护理基础上采取护理风险管理模式干预,比较两组不良事件发生情况和生活质量。结果观察组不良事件发生率为2.50%,低于对照组11.25%,差异有统计学意义(P<0.05);护理前,两组生理功能、心理功能、环境领域以及社会关系领域等维度评分比较,差异均无统计学意义(均P>0.05);护理后,观察组生理功能、心理功能、环境领域、社会关系领域等维度评分分别为(34.58±7.15)分、(62.55±11.24)分、(89.68±12.64)分、(38.64±7.22)分,均高于对照组,差异均有统计学意义(均P<0.05)。结论护理风险管理能够降低重型颅脑损伤患者的不良事件发生率,改善患者生活质量,值得推广应用。Objective To explore the effect of nursing risk management on adverse events and quality of life in patients with severe craniocerebral injury.Methods 160 patients with severe craniocerebral injury admitted to our hospital from July 2016 to July 2019 were divided into two groups according to the random number table,80 cases in each group.The control group received routine nursing,and the observation group received nursing risk management on the basis of routine nursing.The occurrence of adverse events and quality of life were compared between the two groups.Results The incidence of adverse events in the observation group was 2.50%,which was lower than that in the control group(11.25%),with statistically significant difference(P<0.05).Before nursing,there were no statistically significant differences in the scores of physiological function,psychological function,environmental area,social relationship between the two groups(P>0.05);after nursing,the scores of physiological function,psychological function,environmental area,social relationship in the observation group were(34.58±7.15)points,(62.55±11.24)points,(89.68±12.64)points,(38.64±7.22)points,which were higher than those in the control group(P<0.05).Conclusion Nursing risk management can reduce the incidence of adverse events in patients with severe craniocerebral injury and improve the quality of life of patients,which is worthy of promotion and application.

关 键 词：重型颅脑损伤 护理风险管理 不良事件 生活质量 

分 类 号：R473[医药卫生—护理学]