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目的研究骨科护士岗位管理对提升护士早期辨识下肢深静脉血栓形成能力及护理预防技能的影响。方法选取我院骨科任职的26名护士为研究对象,从2015年4月起实施骨科护士岗位管理,比较实施前后1年护理工作质量、下肢深静脉血拴相关知识、护理预防技能以及护理不良事件。结果骨科护士岗位管理实施1年后的护理工作质量总分、下肢深静脉血拴知识水平总分、下肢深静脉血拴预防技能总分、护理不良事件发生率分别为(376.59±14.41)分、(34.85±2.99)分、(43.32±3.05)分、0.39%与实施前的(336.16±35.76)分、(22.32±8.56)分、(27.26±11.43)分、1.08%比较差异显著(P<0.05)。结论骨科护士岗位管理实践通过岗位分级、培训、评价等,能增强护理人员早期辨识下肢深静脉血栓形成能力,提高护理预防技能。
Objective To study the effect of post management of orthopedic nurses on improving nurses’ early recognition of deep vein thrombosis and nursing skills. Methods Twenty-six nurses serving as orthopedic surgeons in our hospital were selected as research objects. Post-management of orthopedic nurses was carried out from April 2015, and the quality of nursing work, knowledge of lower limb deep vein blood tethering, nursing preventive skills and nursing adverse events were compared before and after the implementation . Results The total score of nursing work quality, knowledge of total score of deep venous blood tied to lower extremities, total score of preventive skill of deep venous blood tied by lower extremities, and incidence of nursing adverse events were (376.59 ± 14.41) (34.85 ± 2.99), (43.32 ± 3.05), 0.39% and (336.16 ± 35.76), (22.32 ± 8.56), (27.26 ± 11.43) and 1.08%, respectively ). Conclusion The post management practice of orthopedic nurses can enhance the ability of nursing staff to recognize the deep vein thrombosis in the lower limbs and improve the nursing prevention skills through job classification, training, evaluation and so on.