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目的综合分析血透室不良护理事件原因及预防措施。方法采取回顾性研究方法,在2015年2月~2016年9月,选取我院血透室发生的26例护理不良事件作为主要研究项目,分析护理不良事件发生的主要原因,再采取针对性的预防措施。结果血透室不良护理事件的主要原因表现在:(1)缺失健康宣讲环节内容;(2)护理工作人员缺失责任心;(3)观察不够到位;(4)年轻护士的培训不够到位;(5)护士的技术不够过关;(6)无菌观念意识薄弱;(7)护理核心制度不够完善;(8)护理工作人员的自我保护意识过差等。各组数据所占比例有统计学意义(P<0.05)。结论加强血液透析患者的安全管理工作以及提高护理工作人员的综合技术水平,能有效提高患者的满意度和依从性,避免护患纠纷。
Objective To analyze the causes and preventive measures of adverse events in hemodialysis room. Methods A retrospective study was conducted. From February 2015 to September 2016, 26 nursing adverse events occurred in the hemodialysis room of our hospital were selected as the main research items. The main causes of nursing adverse events were analyzed. Precaution. Results The main causes of adverse nursing event in hemodialysis room were as follows: (1) the content of health preaching was missing; (2) the care worker lacked responsibility; (3) the observation was not enough; (4) the training of young nurse was not enough; 5) The nurse’s skills are not enough clearance; (6) Awareness of aseptic concept is weak; (7) The nursing core system is not perfect; (8) Nursing staff’s self-protection awareness is poor. The proportion of each group of data was statistically significant (P <0.05). Conclusion Strengthening the safety management of hemodialysis patients and improving the comprehensive technical level of nursing staff can effectively improve patient satisfaction and compliance and avoid nurse-patient disputes.