深析护理风险管理在呼吸科危重症患者护理中的实践运用与成效评估

刘立刚

（保定市第一中心医院，河北  保定  071030）

【摘  要】目的：本研究旨在深入探讨护理风险管理在呼吸科危重症患者护理实践中的应用价值及其产生的具体效果，以期为提高护理质量和患者安全提供科学依据。方法：自 2018 年 1 月起，我院呼吸科针对危重症患者全面实施了护理风险管理策略。为评估该措施的有效性，本研究采用回顾性分析方法，选取了 2017 年 1 月至 12 月期间收治的 94 例呼吸科危重症患者作为对照组，并同步选取了 2018 年 1 月至 12 月期间收治的另 94 例同类患者作为观察组。通过对比分析两组患者的护理结果，以量化评估护理风险管理的实际应用成效。结果：经过系统的护理风险管理后，观察组患者在非计划性拔管率、护理纠纷事件发生率及意外事件发生率方面均呈现出显著降低的趋势，具体数值分别为 2.1%、1.1% 及 1.1%，均显著低于对照组患者的相应数据（P ＜ 0.05）。此外，观察组患者及其家属对于护理服务的满意度也显著高于对照组患者，这一差异同样具有统计学意义（P ＜ 0.05）。结论：本研究充分表明，在呼吸科危重症患者的护理过程中实施护理风险管理措施，不仅能够有效降低非计划性拔管、护理纠纷及意外事件的发生，还能显著提升患者及其家属对护理服务的满意度，从而达到提升护理质量、保障患者安全的目的。因此，护理风险管理在呼吸科危重症患者护理中具有重要的应用价值和推广意义。

【关键词】护理风险管理；呼吸危重症；护理效果

In-depth Analysis of the Application and Effectiveness Evaluation of Nursing Risk Management in the Care of Critically Ill Patients in Respiratory Medicine

Liu Ligang

(Baoding First Central Hospital, Hebei, Baoding, 071030, China)

Abstract: Objective: This study aims to thoroughly explore the value of nursing risk management in the practical care of critically ill patients in respiratory medicine and its specific outcomes, in order to provide a scientific basis for improving the quality of nursing care and patient safety. Methods: Starting from January 2018, our hospital's respiratory department has fully implemented nursing risk management strategies for critically ill patients. To evaluate the effectiveness of this measure, this study used a retrospective analysis method, selecting 94 critically ill patients admitted to the respiratory department from January to December 2017 as the control group, and concurrently selecting another 94 similar patients admitted from January to December 2018 as the observation group. By comparing the nursing outcomes of the two groups, the actual application effectiveness of nursing risk management was quantitatively assessed. Results: After systematic nursing risk management, the observation group showed a significant reduction in the rates of unplanned extubation, nursing dispute incidents, and accidental events, with specific values of 2.1%, 1.1%, and 1.1%, respectively, all significantly lower than the corresponding data of the control group patients (P < 0.05). Additionally, the satisfaction of the observation group patients and their families with the nursing service was significantly higher than that of the control group patients, and this difference was also statistically significant (P< 0.05). Conclusion: This study fully demonstrates that the implementation of nursing risk management measures in the care of critically ill patients in respiratory medicine can effectively reduce the occurrence of unplanned extubation, nursing disputes, and accidental events, and significantly enhance the satisfaction of patients and their families with the nursing service, thereby achieving the goal of improving the quality of nursing care and ensuring patient safety. Therefore, nursing risk management has important application value and promotion significance in the care of critically ill patients in respiratory medicine.

Keywords: Nursing Risk Management; Respiratory Critical Illness; Nursing Outcomes