慢性伤口门诊处理中的风险管理及个体化护理

目的：研究慢性伤口门诊处理中的风险管理与个体化护理方法。方法回顾性分析本门诊在2010年5月~2013年8月间收治的82例慢性伤口患者的临床资料，随机将患者分为两组，每组各41例病例，对照组实施常规护理干预，观察组实施个体化护理干预，比较两组患者的护理满意度。结果观察组中有35例患者护理满意，5例患者护理较满意，总满意度为97.6%；对照组中有28例患者护理满意，6例患者护理较满意，总满意度为82.9%。观察组护理满意度高于对照组，差异有统计学意义（P＜0.05）。结论在慢性伤口患者的护理工作中，首先需要做好风险管理，然后为患者实施个性化护理，有利于提升护理满意度，降低不良事件发生率。

Risk management and individualized nursing care for chronic wounds in outpatient department

Objective To explore the risk management and individualized nursing care for chronic wounds in outpatient department. Methods Clinical data of 82 patients with chronic wounds who were admitted to our outpatient department from May 2010 to August 2013 were retrospectively analyzed. They were randomly allocated to two groups, with 41 in each group（approved by the Ethics Committee in our hospital and known to patients＇ family）. The control group received regular nursing intervention, while the observation group received individualized nursing intervention. Satisfaction rates towards the nursing care in the two groups were compared. Results 35 patients were satisfactory to the nursing care in the observation group, and 5 patients were fairly satisfactory. The total satisfaction rate was 97.6%; 28 patients were satisfactory to the nursing care in the control group, and 6 patients were fairly satisfactory. The total satisfaction rate was 82.9%. Satisfaction rate in the observation group was higher than that in the control group,and the difference was statistically significant（P〈0.05）. Conclusion In the nursing care for patients with chronic wounds, risk management should be firstly carried out and individualized nursing care should be done, which is beneficial to improve patients＇ satisfaction rate and avoid adverse events.