風險護理管理在產房助產實施過程中的應用及其對妊娠結局的影響

李悠艷

【摘要】 目的：探討風險護理管理在產房助產實施過程中的應用及其對妊娠結局的影響。方法：選取2017年3月-2018年3月筆者所在醫院收治的240例產婦作為本次研究對象，按照入院先后順序將其分為研究組和對照組，每組120例。對照組采用常規護理方法，研究組采用新型的風險護理管理方法。比較兩組產婦的護理風險、護理滿意度、妊娠結局及分娩方式。結果：研究組的護理滿意度顯著優于對照組，護理糾紛及護理投訴發生率低于對照組，差異均有統計學意義（P<0.05）。研究組產婦妊娠結局優于對照組，差異有統計學意義（P<0.05）。研究組產婦剖宮產率顯著低于對照組，差異有統計學意義（P<0.05）。結論：在產房助產的過程中，實施風險護理管理能夠明顯減少風險事件的發生，避免護患糾紛的出現，提升患者及其家屬的滿意度，同時也利于妊娠結局的改善。

【關鍵詞】 風險護理; 產房助產; 妊娠結局; 護理滿意度

doi：10.14033/j.cnki.cfmr.2019.18.030 文獻標識碼 B 文章編號 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

產婦在分娩過程中的產程觀察及新生兒的出生都是在產房中進行的，在產房中與嬰兒及產婦的接觸最多的則為助產士，因此新生兒及產婦的健康和安全則主要有助產士負責，同時對助產士也提出了較高的要求[1]。而產科又是存在醫療風險較高的科室之一，因此風險管理工作就顯得尤為重要，合理的風險管理模式能夠有效地避免醫護人員、產科患者及家屬探視所潛在的風險[2]。從而有效地避免醫療事件的發生，減少因意外情況的發生而對產婦及嬰兒帶來的傷害。所謂風險管理是指對于已經存在的或者潛在的醫療風險進行評價及處理，通過合理而有效的管理程序減少醫療風險的發生幾率，從而避免因風險存在而對產婦造成的傷害[3]。護理的風險管理是在醫療風險管理中最主要的組成部分，主要包含風險的管理、評估及處理等[4]。筆者所在醫院對入院產婦進行護理風險的管理模式后，取得顯著成效，現將結果報道如下。