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疼痛科患者的护理安全隐患及应对对策分析 被引量:2

Analysis of safety hazards in nursing and the countermeasures for patients in department of painology
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摘要 目的分析疼痛科患者的护理安全隐患及应对对策。方法回顾性选择我院2018年1月至2020年7月疼痛科患者共50例,根据护理安全管理实施的前后进行分组,其中2018年1月至2019年1月对照组25例患者接受的是常规方案护理,2019年2月至2020年7月观察组25例患者接受的是常规护理联合护理安全隐患分析和采取应对对策。比较两组安全隐患分析质量、安全隐患预防质量、护理前后患者机体应激性指标皮质醇和疼痛水平、汉密尔顿抑郁心理量表评分、汉密尔顿焦虑心理量表评分、满意率、护理安全隐患发生率。结果观察组安全隐患分析质量、安全隐患预防质量高于对照组,满意率高于对照组,差异有统计学意义(P<0.05)。观察组护理安全隐患发生率低于对照组,差异有统计学意义(P<0.05)。护理前两组患者机体应激性指标皮质醇和疼痛水平、汉密尔顿抑郁心理量表评分、汉密尔顿焦虑心理量表评分比较,差异无统计学意义(P>0.05),而护理后两组上述指标均改善,而观察组相关指标改善的程度高于对照组,差异有统计学意义(P<0.05)。结论常规方案联合护理安全隐患分析和采取应对对策对于疼痛科的护理效果确切,可有效减轻患者的焦虑和抑郁的心理状态,减轻患者的生理应激和疼痛,减少安全隐患,并提高患者的满意度,值得推广和应用。 Objective To analyze the safety hazards in nursing and the countermeasures for patients in department of painology.Methods A total of 50 patients admitted to the department of painology in our hospital from January 2018 to July 2020 were selected retrospectively.According to the implementation time of nursing safety management,25 patients who received conventional nursing from January 2018 to January 2019 were included in the control group,and 25 patients who received conventional nursing combined with analysis of safety hazards in nursing and the countermeasures from February 2019 to July 2020 were included in the observation group.The quality of safety hazards analysis,quality of safety hazards prevention,patient's body stress index cortisol and pain levels before and after nursing,Hamilton Depression Psychological Scale score,Hamilton Anxiety Psychological Scale score,satisfaction rate,incidence rate of nursing safety hazard were compared between the two groups.Results The quality of safety hazards analysis and the quality of safety hazards prevention in the observation group was higher than those of the control group,and the satisfaction rate was higher than that of the control group,with statistically significant differences(P<0.05).The incidence of nursing safety hazards in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the comparison of the body stress index cortisol and pain level,the Hamilton Depression Psychological Scale score,and the Hamilton Anxiety Psychological Scale score between the two groups before nursing(P>0.05).After nursing,the above indexes of the two groups were improved,and the degree of improvement of related indexes of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion The conventional protocol combined with analysis of nursing safety hazards and countermeasures has a definite effect on the nursing of the department of painology,which can effectively reduce the patient's anxiety and depression degree,reduce the physiological stress and pain of the patients,reduce the safety hazards,and improve the satisfaction of the patients.Therefore,it is worthy of promotion and application.
作者 瞿秀 QU Xiu(Department of Painology,Wuhan Puren Hospital,Hubei,Wuhan 430081,China)
出处 《中国医药科学》 2021年第14期135-138,142,共5页 China Medicine And Pharmacy
关键词 疼痛科患者 护理安全隐患 应对对策 汉密尔顿抑郁量表 汉密尔顿焦虑量表 Patients in department of painology Safety hazards in nursing Countermeasures Hamilton Depression Scale Hamilton Anxiety Scale
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