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目的探讨消化内科常见的护理风险及临床护理管理对策。方法回顾性分析650例住院患者的临床资料,分析导致护理风险事件的原因,针对护理风险因素制定临床护理管理措施,比较干预前后护理风险事件发生率。结果年龄>60岁、输血、携带中心静脉导管、服用5种以上药物、病危及护理人员年资低于3年者护理风险事件发生率显著高于非以上情况者(P<0.05)。干预后,药物应用错误、静脉输液外渗发生率低于干预前,差异有统计学意义(P<0.05);跌倒坠床及静脉导管滑脱发生率低于干预前,但差异无统计学意义(P>0.05)。结论患者高龄、输血、携带中心静脉导管、服用多种药物、病危及护理人员年资低均是消化内科常见护理风险,应采取相应的护理管理对策以降低护理风险事件的发生率。
Objective To explore the common nursing risks and clinical nursing management strategies in gastroenterology. Methods The clinical data of 650 hospitalized patients were retrospectively analyzed. The causes of nursing risk events were analyzed. The clinical nursing management measures were formulated according to the nursing risk factors. The incidence of nursing risk events was compared before and after the intervention. Results The incidence of nursing risk events was significantly higher in those aged> 60 years with blood transfusion, central venous catheters taking more than 5 drugs and those with less than 3 years of critical illness and nursing staff (P <0.05). After the intervention, the application error of medicine, the incidence of intravenous infusion extravasation was lower than before intervention, the difference was statistically significant (P <0.05); fell fall bed and intravenous catheter slippage incidence was lower than before intervention, but the difference was not statistically significant P> 0.05). Conclusion Patients with advanced age, blood transfusion, catheterization of central venous catheter, taking multiple drugs, and the low seniority of nursing staff are the common nursing risks in the department of gastroenterology. Corresponding nursing management strategies should be taken to reduce the incidence of nursing risk events.