护理风险管理在冠心病介入治疗中的应用效果分析

目的：探讨护理风险管理在冠心病介入治疗中的应用方法，并分析其实践价值。方法选择50例患者进行护理风险管理，并与50例实施护理风险管理前的患者进行比较，比较两组手术穿刺、放射曝光、总手术时间，总结发生护理风险事件的例数，并通过医院绩效考核分数和患者及其家属满意分数评价护理风险管理的有效性。结果观察组患者发生管道脱落、穿刺点出血和术中躁动患者分别为1，1，1例，少于对照组的7，9，11例，差异均有统计学意义（χ2分别为4．891，7．111，9．470；P＜0．05）；观察组手术穿刺时间为（1．0±0．3）min，放射曝光时间为（45．6±3．4）min，总手术时间为（55．9±6．3）min，均显著短于对照组的（3．6±0．7），（87．3±8．5），（108．6±15．6）min，差异均有统计学意义（t分别为18．633，25．621，55．718；P＜0．01）；观察组医院绩效考核分数为（93．8±5．4）分，患者及其家属满意分数为（95．8±1．8）分，均显著高于对照组的（86．5±6．9），（81．6±6．7）分，差异均有统计学意义（t分别为8．624，18．981；P＜0．01）。结论通过加强护理风险管理，有效减少并发症发生，缩短手术时间，提高医院对科室绩效考核分数，是一种有效规避介入手术潜在性伤害及提高医疗满意度的方法。

Application effect analysis of nursing risk management in interventional therapy for coronary heart ;disease

Objective To explore the application method of nursing risk management in interventional therapy for coronary heart disease , and to analyze the practical value .Methods Fifty patients received the＆amp;nbsp;nursing risk management as the observation group , and 50 patients were not given the nursing risk management as the control group .The time of puncture , radiation exposure and total operation were compared in two groups , and the cases of emergence of nursing risk events were summarized . The effectiveness of nursing risk management was evaluated by the scores of hospital performance assessment and the satisfaction of patients and their families.Results The cases of the shedding of pipeline , bleeding in the puncture site and postoperative agitation were respectively 1, 1, 1 case in the observation group , and were less than 7, 9, 11 cases in the control group, and the differences were statistically significant （χ2 =4.891, 7.111, 9.470, respectively;P〈0.05）.The time of puncture, radiation exposure and total operation were respectively （1.0 ±0.3） min, （45.6 ±3.4）min, （55.9 ±6.3）min in the observation group, and shorter than （3.6 ±0.7）min, （87.3 ± 8.5）min, （108.6 ±15.6） min in the control group, and the differences were statistically significant （ t =18.633, 25.621, 55.718, respectively; P〈0.01）.The scores of hospital performance assessment and the satisfaction of patients and their families were respectively （93.8 ±5.4）, （86.5 ±6.9） in the observation group, and were significantly higher than （95.8 ±1.8）, （81.6 ±6.7） in the control group, and the differences were statistically significant （t =8.624, 18.981, respectively; P ＆lt;0.01）.Conclusions The nursing risk management can effectively reduce the incidence of complications , shorten the operation time and improve the score of hospital performance assessment , and is an effective method of avoiding potential damage and improving the satisfaction of medical treatment in the interventional operation .