儿科临床用药中的护理风险与管理对策分析  

Analysis of Nursing Risks and Management Strategies in Pediatric Clinical Medication

作　　者：朱会会 叶超慧 申慧丽 ZHU Huihui;Ye Chaohui;SHEN Huili(The First Ward of Pediatrics Department,Queshan County People’s Hospital,Zhumadian 463200,Henan,China;Department of Pediatrics,Kaifeng People’s Hospital,Kaifeng 475000,Henan,China)

机构地区：[1]确山县人民医院儿科一病区,河南驻马店463200 [2]开封市人民医院儿科,河南开封475000

出　　处：《中国药物滥用防治杂志》2022年第3期388-392,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20190995)。

摘　　要：目的:探讨儿科临床用药中的护理风险与管理对策。方法:选择2019年2月—2021年2月在该院治疗的160例儿科患者,根据护理措施采取的时间分为实施前和实施后,实施前(2019年2月—2020年2月)80例患儿采取常规护理,实施后(2020年3月—2021年2月)80例患儿采取护理风险管理,比较实施前后组临床护理质量评分情况、护理风险防控效果、护理满意度、用药知识程度掌握情况。结果:实施后治疗护理质量、心理护理质量、生活护理质量、用药健康宣教评分高于实施前,差异有统计学意义(P<0.05);实施后护理风险事件、护理差错、护理纠纷少于实施前,差异有统计学意义(P<0.05);实施后护理满意度为97.50%,高于实施前的83.75%,差异有统计学意义(P<0.05);实施后用药知识程度掌握率为98.75%,高于实施前的85.00%,差异有统计学意义(P<0.05)。结论:护理风险管理有助于改善临床护理质量,提高患儿的满意度和用药知识掌握程度,护理风险事件、差错、纠纷发生较少。Objective:To explore the nursing risks and management strategies in pediatric clinical medication.Methods:A total of 160 pediatric patients treated in the hospital from February 2019 to February 2021 were selected and divided into two groups according to the time taken by nursing measures:before and after the implementation,80 children were given routine nursing before the implementation(February 2019 to February 2020),and 80 children were given nursing risk management after the implementation(March 2020 to February 2021).The clinical nursing quality score,nursing risk prevention and control effect,nursing satisfaction and mastery of medication knowledge before and after the implementation were compared.Results:The scores of treatment nursing quality,psychological nursing quality,life nursing quality and medication health education after implementation were higher than those before implementation,with a statistical significant difference(P<0.05).Nursing risk events,nursing errors and nursing disputes after implementation were less than those before implementation,with a statistical significant difference(P<0.05).The nursing satisfaction after implementation was 97.50%,which was higher than 83.75%before implementation,with a statistical significant difference(P<0.05).The mastery rate of medication knowledge after implementation was 98.75%,which was higher than 85.00%before implementation,with a statistical significant difference(P<0.05).Conclusion:Nursing risk management is helpful to improve the quality of clinical care,increase the satisfaction of children and the mastery of medication knowledge,and there are fewer nursing risk events,errors,and disputes.

关 键 词：儿科 临床用药 护理风险 管理 效果 

分 类 号：R473.72[医药卫生—护理学]