风险流程管理对床旁连续性血液净化护理质量及满意度的影响

目的探讨风险管理流程对床旁连续性血液净化(CBP)的护理质量及满意度的影响。方法选取拟行CBP治疗的98例患者作为研究对象,遵循随机均等原则分为观察组和对照组。对照组采用常规管理,观察组采用风险流程管理,比较2组护理风险发生情况、护理质量以及患者护理满意度情况。结果观察组体外循环凝血、水平衡障碍、导管脱落、未按时检测生命体征、未按时检测压力指标、低血压、穿刺部位渗血、相关性感染的发生率均低于对照组(P0.05);观察组基础护理、抢救成功率、仪器操作准确性、护理安全度评分均高于对照组(P0.05);观察组患者护理满意度为95.92%,高于对照组的83.67%(P0.05)。结论风险流程管理可有效降低CBP治疗患者的护理风险,提高护理质量和患者满意度。

Influence of risk process management on nursing quality and satisfaction in bedside continuous blood purification

Objective To observe influence of risk process management on nursing quality and satisfaction in bedside continuous blood purification (CBP).Methods Ninety-eight patients treated with CBP in our hospital were divided into control group and observation group according to the random and equal principle.The control group were given routine management,and the observation group were given risk process management.Occurrence of nursing risk,nursing quality and patients'nursing satisfaction were observed in the two groups.Results Incidence rates of extracorporeal circulation coagulation,water balance disorders,catheter off,failure to detect vital signs and pressure indicators on time,hypotension,bleeding in puncture site,and associated infection in the observation group were significantly lower than that of the control group (P ＜ 0.05).The scores of basic nursing,success rate of rescue,accuracy of the instrument operation,and nursing safety of observation group were significantly higher than that of the control group (P ＜ 0.05).Patients'nursing satisfaction of the observation group was 95.92％,which was significantly higher than 83.67％ of the control group (P ＜ 0.05).Conclusion Risk process management can effectively reduce nursing risk of patients in the CBP treatment,and improve nursing quality and patients'satisfaction.