妇产科护理中不良事件的发生原因分析及对策探讨

摘要

目的：探讨在妇产科的护理中不良事件的发生原因，并提出了有效的护理对策。方法本文利用回顾性分析的方法随机选取了妇产科220例患者，分为观察组和对照组，各110例。对照组患者给予常规基础护理，观察组患者在对照组护理基础上分析护理过程中产生的不良事件的发生原因后进行改进和纠正，比较2组患者不良事件的发生情况和对护理的满意程度。结果观察组有2例患者出现不良事件，其中1例为评估不足，1例为违规操作，不良事件发生率1.82%；对照组有21例患者出现不良事件，其中6例为沟通不良，4例为评估不足，7例为违规操作，4例为能力不足，不良事件发生率19.01%；观察组患者的不良事件发生率显著低于对照组患者，差异具有统计学意义(P＜0.05)。沟通不良、评估不足、违规操作和能力不足是造成妇科护理中不良事件的发生原因。观察组有1例患者对护理不满意，43例患者对护理满意，66例患者对护理非常满意，总满意率达99.09%；对照组有19例患者对护理不满意，59例患者对护理满意，32例患者对护理非常满意，总满意率82.73%；观察组患者的护理满意度显著高于对照组患者，差异具有统计学意义(P＜0.05)。结论通过有效且具有针对性的对策对妇产科护理中的不良事件进行护理，进而降低了提不良事件发生率，护患的关系得到了显著的改善。%Objective To investigate the causes of the obstetrics and gynecology care adverse events, and made effective nursing.Methods In this paper, a retrospective analysis of randomly selected 220 cases of hospital maternity patients were divided into two groups and the control group 110 cases, the incidence of adverse events between the two groups of patients before and after nursing and nursing satisfaction.Results Observation group 2 patients had adverse events, including one case insufifcient to assess, one case of illegal operations, adverse event rate 1.82%; control group, 21 patients had adverse events, including 6 cases of miscommunication, 4 cases of inadequate assessment, seven cases of irregularities, four cases of insufifcient capacity, adverse event rate 19.01%; incidence of adverse events in the observation group were signiifcantly lower than the control group of patients, a signiifcant difference has statistical signiifcance (P<0.05); poor communication, lack of assessment, abuse and lack of capacity is caused by gynecological care causes adverse events; observation group 1 patients are not satisifed with nursing, nursing satisfaction 43 patients, 66 patients of the care is very satisifed, the overall satisfaction rate of 99.09%; control group, 19 patients were satisifed with nursing, nursing satisfaction 59 patients, 32 patients of the care is very satisifed with the overall satisfaction rate 82.73%; observation group were signiifcantly higher satisfaction with care patients in the control group, the difference was signiifcant, with statistical signiifcance (P<0.05).Conclusion Through effective and targeted responses to obstetrics and gynecology nursing care adverse events, thereby reducing the incidence of adverse events to mention, the nurse-patient relationship has been signiifcantly improved.