【摘要】：目的:(1)回顧性調(diào)查某三甲綜合醫(yī)院手術(shù)室護士四年上報的所有骨科手術(shù)術(shù)中護理不良事件,為骨科手術(shù)患者術(shù)中護理風(fēng)險評估指標(biāo)體系的初步構(gòu)建提供依據(jù)。(2)對5所三級甲等醫(yī)院手術(shù)室護士對骨科術(shù)中護理風(fēng)險的認知、影響因素現(xiàn)況進行臨床調(diào)研,為指標(biāo)體系的進一步完善構(gòu)建提供依據(jù)。(3)基于以上兩方面的調(diào)查結(jié)合相關(guān)國內(nèi)外文獻及指南、專家咨詢構(gòu)建骨科手術(shù)患者術(shù)中護理風(fēng)險評估指標(biāo)體系。方法:本研究以患者十大安全目標(biāo)為指導(dǎo),結(jié)合文獻分析法、問卷調(diào)查法,德爾菲專家咨詢法、層次分析法確定指標(biāo)及權(quán)重,構(gòu)建骨科手術(shù)患者術(shù)中護理風(fēng)險評估指標(biāo)體系。結(jié)果:專家積極性為100%,權(quán)威程度系數(shù)經(jīng)計算為0.83,經(jīng)過2輪專家咨詢,形成10個一級指標(biāo),35個二級指標(biāo),82個三級指標(biāo)的骨科手術(shù)患者術(shù)中護理風(fēng)險評估指標(biāo)體系。該評估指標(biāo)體系的一級指標(biāo)涵蓋了骨科手術(shù)患者術(shù)中可能遇到的10項護理風(fēng)險,分別為墜床、錯誤手術(shù)、輸血用藥缺陷、液體滲出及靜脈炎、壓瘡、體位性神經(jīng)損傷、標(biāo)本管理缺陷、電外科設(shè)備灼傷、手術(shù)物品遺留體內(nèi)、術(shù)中低體溫。該評估指標(biāo)體系對護士識別、評估、管理骨科手術(shù)患者術(shù)中護理風(fēng)險有重要意義。結(jié)論:在文獻分析法、現(xiàn)況調(diào)查法的基礎(chǔ)上結(jié)合德爾菲專家咨詢法及層次分析法研制的骨科手術(shù)患者術(shù)中護理風(fēng)險評估指標(biāo)體系覆蓋的術(shù)中護理風(fēng)險類型較全面,有助于護士在手術(shù)過程中對護理風(fēng)險進行識別、干預(yù)管理,提高骨科手術(shù)患者安全。
[Abstract]:Objective: (1) to investigate retrospectively all the adverse events in orthopedic surgery reported by nurses in operating room of a general hospital for four years. To provide the basis for the preliminary construction of the risk assessment index system for orthopedic surgery patients. (2) to investigate the cognition of nursing risk and the influencing factors of nurses in 5 operating rooms of Grade 3A Hospital. For the further improvement of the index system to provide the basis. (3) based on the above two aspects of the investigation combined with relevant domestic and foreign literature and guidelines, experts to build orthopaedic surgery patients intraoperative nursing risk assessment index system. Methods: under the guidance of the ten safety targets of patients, combined with literature analysis, questionnaire survey, Delphi expert consultation, AHP to determine the index and weight, to establish the risk assessment index system of orthopedic surgery patients during operation. Results: the enthusiasm of experts was 100, the coefficient of authority was 0.83. after two rounds of expert consultation, a risk assessment index system for orthopedic patients during operation was established, which included 10 first-grade indexes, 35 second-class indexes and 82 third-order indexes. The first-degree indicators of the evaluation system cover 10 nursing risks that may be encountered during orthopedic surgery, including falling bed, false surgery, defective blood transfusion, fluid exudation and phlebitis, pressure sore, postural nerve injury, etc. Specimen management defects, electrosurgical equipment burns, surgical objects left in vivo, intraoperative hypothermia. The evaluation index system is very important for nurses to identify, evaluate and manage the risk of orthopaedic surgery. Conclusion: the type of intraoperative nursing risk of orthopaedic patients with orthopaedic surgery covered by the index system of intraoperative nursing risk assessment, which is based on literature analysis, current situation investigation and Delphi expert consultation method and analytic hierarchy process, is more comprehensive. It is helpful for nurses to identify nursing risks, intervene in management and improve the safety of orthopedic patients.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.6

【參考文獻】

相關(guān)期刊論文 前10條

1 彭靜珂;;手術(shù)室常見的護理差錯及預(yù)防對策[J];中國現(xiàn)代藥物應(yīng)用;2016年02期

2 許廣亮;賀曉;;靜脈留置針?biāo)蚂o脈炎風(fēng)險因素評估量表的設(shè)計與應(yīng)用[J];中國繼續(xù)醫(yī)學(xué)教育;2015年17期

3 劉彤云;;手術(shù)室護理風(fēng)險管理的研究進展[J];世界最新醫(yī)學(xué)信息文摘;2015年54期

4 辛麗;甘秀妮;;Autar量表在婦科腹腔鏡術(shù)后預(yù)防深靜脈血栓中的應(yīng)用研究[J];全科護理;2015年15期

5 潘春梅;;Autar量表干預(yù)護理模式在預(yù)防婦科手術(shù)患者下肢深靜脈血栓形成中的應(yīng)用[J];醫(yī)學(xué)臨床研究;2015年04期

6 仇鐵英;黃金;;護理不良事件概念與管理研究現(xiàn)狀[J];中國護理管理;2014年09期

7 劉霞;端木玉明;仲正香;張燕;;一次性標(biāo)本袋在手術(shù)室培養(yǎng)管中的應(yīng)用[J];護理實踐與研究;2014年07期

8 楊金娣;;Autar評分在老年髖關(guān)節(jié)置換術(shù)后預(yù)防下肢深靜脈血栓的應(yīng)用[J];天津護理;2013年06期

9 錢維明;黃立峰;項海燕;王華芬;陳淑萍;杜麗麗;徐琴;方良玉;;手術(shù)患者壓瘡危險因素評估量表的研制[J];中國護理管理;2013年08期

10 梁妮;李春容;;Autar量表在骨科大手術(shù)患者深靜脈血栓形成風(fēng)險評估中的應(yīng)用[J];護理實踐與研究;2013年02期

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