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目的:探究血液透析交接流程中存在的不安全因素,寻找有效的护理管理对策。方法:对近期来浙江省杭州市第一人民医院进行血液透析的120例患者,进行交接流程的不安全因素分析,根据分析结果,有效改进护理管理方案,设为观察组。同时选取改进前的120例患者作为对照组,比较分析改进前后各组患者的不良事件发生率与患者满意度。结果:透析前的准备交接不清、护理文件内容书写不规范及护患交流情况等,都是血液透析交接流程中存在的不安全因素;改进护理管理后,观察组患者的不良事件发生率显著降低,患者满意度提高,与对照组差异显著(P<0.05)。结论:血液透析交接过程较为繁琐,存在的不安全因素较多,需要医护人员和患者密切配合,严格按照标准程序进行,才能有效提高医疗质量。
Objective: To explore the unsafe factors in the hemodialysis transfer process and find effective nursing management strategies. Methods: In the recent 120 cases of hemodialysis patients in Hangzhou First People’s Hospital of Zhejiang Province, we analyzed the unsafe factors in the delivery process, and based on the analysis results, effectively improved the nursing management plan and set it as the observation group. At the same time, 120 patients before the improvement were selected as the control group, and the incidence of adverse events and patient satisfaction were compared before and after the improvement. Results: The unclear preparation for pre-dialysis, non-standard nursing documents and the exchange of nurses and patients were the unsafe factors in the hemodialysis transfer process. After the improvement of nursing management, the incidence of adverse events in observation group was significantly higher Decreased, patient satisfaction increased significantly with the control group (P <0.05). Conclusion: The hemodialysis transfer process is more complicated, there are many unsafe factors, requiring close cooperation between medical staff and patients, in strict accordance with the standard procedures, in order to effectively improve the quality of care.