預(yù)見性護理風險管理對降低早產(chǎn)兒醫(yī)院感染發(fā)生率的影響研究

黃銀娟

【摘要】 目的：研究運用預(yù)見性護理風險管理對降低早產(chǎn)兒醫(yī)院感染發(fā)生率的影響。方法：選擇2015年7月-2016年12月本院新生兒科收治的早產(chǎn)兒146例，根據(jù)護理方案的不同分為觀察組（n=72）和對照組（n=74）。對照組早產(chǎn)兒給予常規(guī)護理，觀察組早產(chǎn)兒在此基礎(chǔ)上實施預(yù)見性護理風險管理方式。觀察兩組早產(chǎn)兒發(fā)生院內(nèi)感染的情況，比較兩組護理不良事件的發(fā)生率以及家屬滿意度的調(diào)查。結(jié)果：觀察組早產(chǎn)兒醫(yī)院感染發(fā)生率為8.33%，明顯低于對照組的20.27%（P<0.05）；而觀察組護理不良事件發(fā)生率為20.83%，低于對照組的39.19%（P<0.05），觀察組早產(chǎn)兒家屬滿意度為84.72%高于對照組的66.22%（P<0.05）。結(jié)論：基于預(yù)見性護理的護理風險管理模式能有效降低早產(chǎn)兒發(fā)生院內(nèi)感染的幾率，并增加護士在進行護理時的主動性，減少臨床護理時發(fā)生護理風險事件的幾率，且家屬滿意度高，有利于緩解醫(yī)患關(guān)系，值得醫(yī)院新生兒科臨床推廣。

【關(guān)鍵詞】 預(yù)見性護理； 護理風險管理； 早產(chǎn)兒； 醫(yī)院感染

Effect of Predictive Nursing Risk Management on Reducing the Incidence of Nosocomial Infection/HUANG Yin-juan.//Medical Innovation of China，2017，14（14）：074-078

【Abstract】 Objective：To study the effect of predictive nursing risk management on reducing the incidence of nosocomial infection in premature infants.Method：From July 2015 to December 2016 in our hospital 146 premature were selected and divided into the observation group（n=72） and the control group（n=74） according to the different nursing plans，the control group was given routine nursing，while the observation group was given routine treatment and predictive nursing risk management.The incidence of nosocomial infection of two groups was observed，and the incidence of adverse events and family satisfaction of two groups were compared.Result：The infection rate of the observation group was 8.33%，it was significantly lower than that of the control group（20.27%）（P<0.05）.The nursing adverse events of the observation group was 20.83%，it was less than that of the control group （39.19%）（P<0.05），the premature family satisfaction of the observation group was 84.72%，it was higher than that of the control group（66.22%）（P<0.05）.Conclusion：The nursing risk management model based on predictive nursing can effectively reduce the risk of nosocomial infection in preterm infants and increase the nurses' initiative in nursing care，reduce the chance of nursing risk events in clinical nursing，and has high family satisfaction，helps to ease the tension between doctors and patients.

【Key words】 Predictive nursing； Nursing risk management； Premature infant； Nosocomial infection

First-authors address：No.1 Maternal and Child Health Hospital of Huizhou City，Huizhou 516001，China

doi：10.3969/j.issn.1674-4985.2017.14.020

院內(nèi)感染是指患者在住院期間在院內(nèi)獲得的感染，以及在醫(yī)院獲得感染而處于潛伏期，出院后出現(xiàn)癥狀的感染[1]。早產(chǎn)兒因自身免疫力低下、各器官功能發(fā)育尚不完全、環(huán)境器具或醫(yī)護人員攜帶病原體等原因發(fā)生院內(nèi)感染[2-3]。護理風險管理是指評估、識別、干預(yù)護理人員在對病人進行護理操作時可能產(chǎn)生傷害的風險[4]。進行預(yù)見性護理風險管理的目的在于明確護護理風險所在、掌握其規(guī)律、提高防范意識以及有效地回避護理風險，為患者提供優(yōu)質(zhì)的護理[5-6]。故本院實行預(yù)見性護理風險管理，以期減少早產(chǎn)兒發(fā)生院內(nèi)感染的幾率，現(xiàn)報告如下。