风险护理管理在产房助产实施过程中的应用及其对妊娠结局的影响

李悠艳

【摘要】 目的：探讨风险护理管理在产房助产实施过程中的应用及其对妊娠结局的影响。方法：选取2017年3月-2018年3月笔者所在医院收治的240例产妇作为本次研究对象，按照入院先后顺序将其分为研究组和对照组，每组120例。对照组采用常规护理方法，研究组采用新型的风险护理管理方法。比较两组产妇的护理风险、护理满意度、妊娠结局及分娩方式。结果：研究组的护理满意度显著优于对照组，护理纠纷及护理投诉发生率低于对照组，差异均有统计学意义（P<0.05）。研究组产妇妊娠结局优于对照组，差异有统计学意义（P<0.05）。研究组产妇剖宫产率显著低于对照组，差异有统计学意义（P<0.05）。结论：在产房助产的过程中，实施风险护理管理能够明显减少风险事件的发生，避免护患纠纷的出现，提升患者及其家属的满意度，同时也利于妊娠结局的改善。

【关键词】 风险护理; 产房助产; 妊娠结局; 护理满意度

doi：10.14033/j.cnki.cfmr.2019.18.030 文献标识码 B 文章编号 1674-6805（2019）18-00-03

【Abstract】 Objective：To explore the application of risk nursing management in the delivery of midwifery and its influence on pregnancy outcome.Method：A total of 240 parturients admitted to our hospital from March 2017 to March 2018 were selected as the research objects.They were divided into study group and control group according to the order of admission.The normal nursing method was used in the control group and the new nursing method of risk nursing management was adopted in the study group.The nursing risk，nursing satisfaction，pregnancy outcome and delivery mode of the two groups were compared.Result：The nursing satisfaction of the study group was significantly better than that of the control group，and the incidence of nursing disputes and nursing complaints in the study group was lower than that in the control group，the differences were statistically significant（P<0.05）.The pregnant outcome in the study group was better than that in the control group，the difference was statistically significant（P<0.05）.The cesarean section rate in the study group was significantly lower than that in the control group，the difference was statistically significant（P<0.05）.Conclusion：In the process of midwifery，risk nursing management can significantly reduce the occurrence of risk events，avoid the occurrence of nurse-patient disputes，improve the satisfaction of patients and their families，and also benefit the improvement of pregnancy outcome.

【Key words】 Risk nursing; Midwifery; Pregnancy outcome; Nursing satisfaction

First-authors address：Daye Peoples Hospital，Daye 435100，China

产妇在分娩过程中的产程观察及新生儿的出生都是在产房中进行的，在产房中与婴儿及产妇的接触最多的则为助产士，因此新生儿及产妇的健康和安全则主要有助产士负责，同时对助产士也提出了较高的要求[1]。而产科又是存在医疗风险较高的科室之一，因此风险管理工作就显得尤为重要，合理的风险管理模式能够有效地避免医护人员、产科患者及家属探视所潜在的风险[2]。从而有效地避免医疗事件的发生，减少因意外情况的发生而对产妇及婴儿带来的伤害。所谓风险管理是指对于已经存在的或者潜在的医疗风险进行评价及处理，通过合理而有效的管理程序减少医疗风险的发生几率，从而避免因风险存在而对产妇造成的伤害[3]。护理的风险管理是在医疗风险管理中最主要的组成部分，主要包含風险的管理、评估及处理等[4]。笔者所在医院对入院产妇进行护理风险的管理模式后，取得显著成效，现将结果报道如下。