摘要目的 降低护理风险的发生,消除护理安全隐患,提高老年CCU患者护理质量.方法 对在老年CCU病区住院的患者实施风险管理.首先对患者的护理风险进行评估,然后制定CCU病区患者的护理风险防范制度,制定相应的护理风险防范措施并落实,最后征求患者意见.对实施风险管理前和实施后护理工作的满意度、病区投诉率和常见护理缺陷的发生情况进行比较和统计.结果 实施风险管理后住院患者的满意度从87.50%上升到98.33%(P<0.01).与实施前比较,常见护理投诉率从10.83%下降到3.33%(P<0.05),护理缺陷的发生率从14.17%下降到5%(P<0.01),差异有统计学意义.结论 实施风险管理,对预防缺陷的发生,提高护理人员的风险识别和应对能力,降低或避免护理风险的发生,确保患者的护理安全,提高老年心脏病患者的生活质量,具有重要作用.

abstractsObjective This study is aimed to reduce the incidence of nursing risk and avoid the occurrence of defects of nursing in order to improve the quality of nursing of elderly patients in Coronary Care Unit(CCU).Methods Between December 2007 and December 2008,risk management has been applied to the nursing of elderly patients in CCU.The risk of nursing was assessed and relative protocols of prevention of nursing risk werle established and brought into routine nursing practice.The effectiveness of this protocol has also been evaluated.30 patients were selected from CCU every quarter(totally 120patients were selected).These patients fulfilled the indacing format made by PLA General Hospital.The rate of satisfactory.complaints and defect were compared before and after the implement of management.Results After application of risk management,the satisfaction rate of patients raised from 87.50%to 98.33%(P<0.01).Compared to pieapplication,the rate of complaint of nursing(10.83%,3.33%;P<0.05)and defects(14.17%,5%;P<0.01)have both dropped significandy.Conclusions The application of risk management play an important role to prevent the occurrence of nursing defects,enhance the ability of nursing staff recognizing and copping with risks,reduce the risk rate and improve the nursing safety in CCU.