摘要
目的探讨风险管理应用于喉癌气管切开患者中的护理效果。方法将2016年3月—2019年4月科室收治的60例喉癌手术患者展开研究,在遵循伦理学和患者知情权的基础上将60例对象分为实验组和对照组,每组30例;对照组实施常规护理,实验组在此基础上实施系统化护理,比较两组的护理满意度、住院时间以及感染率。结果实验组患者十分满意20例,较满意8例,不满意2例,总满意度为28例(93.33%)。对照组十分满意15例,较满意5例,不满意10例,总满意度为20例(66.67%),两组比较差异有统计学意义(χ~2=6.667,P<0.05);实验组患者住院时间(23.6±3.0)d、气管及肺部感染发生率6.67%低于对照组(29.1±4.7)d、26.67%,组间比较差异有统计学意义(t=5.403,P<0.05,χ~2=14.398,P<0.05)。结论在喉癌气管切开手术患者的护理中加入风险管理,可提升护理质量降低术后感染率。
Objective To explore the nursing effect of risk management applied to patients with laryngocarcinoma tracheotomy.Methods A total of 60 patients with laryngeal cancer surgery admitted from March 2016 to April 2019 in the department were studied.Based on ethics and the patient’s right to know,60 patients were divided into experimental group and control group,30 cases respectively.The control group implemented routine nursing,and the experiment group implemented systematic nursing on this basis,comparing the nursing satisfaction,hospital stay and infection rate of the two groups.Results In the experiment group,20 patients were very satisfied,8 were satisfied,2 were dissatisfied,and the total satisfaction was 28 cases(93.33%).The control group was very satisfied with 15 cases,satisfied with 5 cases,dissatisfied with 10 cases,and total satisfaction with 20 cases(66.67%).The difference between the two groups was statistically significant(χ~2=6.667,P<0.05);the experiment group was hospitalized time(23.6±3.0)d,trachea and lung infection rate was 6.67%lower than the control group(29.1±4.7)d,26.67%,the difference between the groups was statistically significant(t=5.403,P<0.05;χ~2=14.398,P<0.05).Conclusion Including risk management in the care of patients with laryngeal carcinoma tracheotomy can improve the quality of care and reduce the postoperative infection rate.
作者
黄木兰
张相红
谢丽叶
陈丽燕
陈秋夏
HUANG Mu-lan;ZHANG Xiang-hong;XIE Li-ye;CHEN Li-yan;CHEN Qiu-xia(Operating Room,Zhanjiang Central People's Hospital,Zhanjiang,Guangdong Province,524045 China)
出处
《系统医学》
2020年第13期151-153,共3页
Systems Medicine
关键词
喉癌
气管切开
风险管理
护理质量
气管感染
肺部感染
Laryngeal cancer
Tracheotomy
Risk management
Quality of care
Tracheal infection
Lung infection
