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目的对产科护理安全隐患进行探讨分析,并提出相应的护理对策。方法从本院2015年1月~2016年1月期间产科中抽取300例产妇调查安全隐患发生情况,对事件发生的原因进行分析,根据原因制定相应的护理对策,同时在2016年1月~2017年1月实施相应的护理对策,选取300例产妇进行不良事件的调查,对比两个时间段事故发生情况。结果 2015年1月~2016年1月期间产科护理时发生的18起护理不良事件,产科护理的安全隐患主要表现在护理人员、患者及医院基础设施三个方面,由于护理人员责任心不强造成事故发生占比38.89%,护理人员专业操作技能占比16.67%,患者因素占27.78%,医院基础设施不完善占比16.67%,护理对策实施后不良事件发生率较实施前有明显降低(p<0.05)。结论临床在进行产科护理时应注意提高护理人员工作素质及专业技术操作熟练度,加强护患沟通交流,对护理操作流程进行规范,并加强产科护理的管理工作,全面降低产科护理安全隐患。
Objective To explore and analyze the hidden dangers of obstetrics and nursing and put forward corresponding nursing countermeasures. Methods From March 2015 to January 2016 in our hospital, we extracted 300 cases of maternity risks from the obstetrics and gynecology department, analyzed the causes of the accidents, and formulated corresponding nursing measures according to the reasons. At the same time, from January 2016 to 2017 In January of this year, the corresponding nursing measures were taken and 300 maternal women were selected to carry out the investigation of adverse events, comparing the occurrence of accidents in two time periods. Results From January 2015 to January 2016, 18 cases of adverse care during obstetric care, obstetrics and gynecology care hidden dangers mainly in nursing staff, patients and hospital infrastructure in three aspects, due to the caregiver’s sense of responsibility is not strong The incidence of accidents was 38.89%, nursing staff professional operation skills accounted for 16.67%, patient factors accounted for 27.78%, hospital infrastructure imperfect accounting for 16.67%, incidence of adverse events after the implementation of nursing intervention was significantly lower than before implementation (p < 0.05). Conclusion In the clinical obstetrics nursing, we should pay attention to improving the quality of nursing staff and the proficiency of professional and technical operation, strengthen the communication between nurses and patients, standardize the nursing operation procedure and strengthen the management of obstetric nursing, so as to reduce the hidden danger of obstetric nursing.