优质护理服务结合护理风险管理教育在血液透析室的应用

摘要

Objective To observe the effect of combining high quality nursing with risk management educa-tion in hemodialysis room. Methods One hundred patients conducting hemodialysis in Hemodialgsis Room were randomly selected and equally divided into two groups: observation group and control group, with 50 cases in each group. For observation group, patients received high quality nursing and nurses received risk management education.For the control group, normal nursing was conducted. Then the two groups were observed and compared in indexes including KDQ score, SDS score, SAS score, service satisfaction index, condition of nursing mistake and conflict. Results After 6 months of hemodialysis and observation, control group showed no statistically significant difference concerning index of KDQ score, SDS score and SAS score (P>0.05). The observation group exhibited a significant increase in KDQ score (P<0.05) and a significant decrease in SDS score and SAS score (P<0.05). The satisfaction rate of nursing in the observation group was 96.0%, significantly higher than 68.0%in the control group (P<0.05). The observation group reported two cases of nursing mistake and conflict, while the corresponding number for con-trol group was 8. Conclusion Maintenance hemodialysis is an effective treatment for end stage renal disease. Com-bining high quality nursing and risk management education can effectively improve patients' life quality, alleviate de-pression and anxiety, improve patients' satisfaction degree towards nurses, and reduce incidence of nursing conflict and mistakes.%目的：观察优质护理服务结合护理风险管理教育在血液透析室的实施效果。方法随机抽取本院血液透析室进行维持性血液透析的患者100例，依据随机对照原则分为观察组与对照组，每组50例。对观察组护理人员进行护理风险管理教育，同时按照全程优质护理的要求对患者给予全程优质护理，对照组采用常规护理，观察并比较两组患者的KDQ问卷评分、抑郁自评量表(SDS)评分、焦虑自评量(SAS)评分、护理服务满意度、护理人员一般差错及纠纷发生情况。结果两组患者均顺利完成6个月维持性血液透析，对照组干预后的KDQ评分各项与干预前的差异均无统计学意义(P>0.05)，观察组干预后KDQ评分各项较干预前显著提高，差异具有统计学意义(P<0.05)；对照组干预前后SDS评分及SAS评分的差异均无统计学意义(P>0.05)，观察组干预后SDS评分及SAS评分较干预前降低，差异均具有统计学意义(P<0.05)；观察组护理满意度为96.0%，高于对照组的68.0%，差异具有统计学意义(P<0.05)；观察组发生一般护理差错及纠纷2例，对照组为8例。结论维持性血液透析是终末期肾病的有效治疗方法，采用优质护理服务结合护理风险管理可有效提高患者的生活质量，减轻患者抑郁和焦虑情绪，提高患者对护理服务的满意度，减少护理纠纷和差错的发生。